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MOUNTAIN WEST CARDIOVASCULAR ASSOCIATES PC NPI 1053692038


NPI Information

NPI: 1053692038
Provider Name: MOUNTAIN WEST CARDIOVASCULAR ASSOCIATES, PC

Doing Business As: HEART CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 46D0669100

Address:
74 KIMBALLS LN
SUITE 260 A
DRAPER, UT
ZIP 84020
Phone: (801) 571-6100
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MOUNTAIN WEST CARDIOVASCULAR ASSOCIATES, PC is a cardiovascular disease internal medicine in Draper, UT. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MOUNTAIN WEST CARDIOVASCULAR ASSOCIATES, PC NPI is 1053692038. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heart Center.

The provider's business location address is:

74 KIMBALLS LN
SUITE 260 A
DRAPER, UT
ZIP 84020-004
Phone: (801) 571-6100

The provider's authorized official is Teri J Wardle .
The authorized official title is Credentialing Co and has the following contact phone number (801) 676-3723.

The CLIA number assigned to this NPI record is 46D0669100 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2011 and was last updated on 9/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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