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INTERMOUNTAIN MEDICAL MONITORING LLC NPI 1134429384


NPI Information

NPI: 1134429384
Provider Name: INTERMOUNTAIN MEDICAL MONITORING LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 46D2078867

Address:
1306 DEER CREST
FRUIT HEIGHTS, UT
ZIP 84037
Phone: (801) 755-4509
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INTERMOUNTAIN MEDICAL MONITORING LLC is a pain medicine anesthesiology in Fruit Heights, UT. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. INTERMOUNTAIN MEDICAL MONITORING LLC NPI is 1134429384. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1306 DEER CREST
FRUIT HEIGHTS, UT
ZIP 84037
Phone: (801) 755-4509
Fax: (801) 593-9848

The provider's authorized official is Darin S Stettler .
The authorized official title is Owner/manager/board Member and has the following contact phone number (801) 755-4509.

The CLIA number assigned to this NPI record is 46D2078867 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/21/2010 and was last updated on 11/10/2011.


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
1207LP2900XAnesthesiologyPain Medicine6049595-1204UTAHYes

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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