INTERMOUNTAIN CARDIOVASCULAR ASSOC. NPI 1487841987

NPI Details

INTERMOUNTAIN CARDIOVASCULAR ASSOC. is a thoracic surgery cardiothoracic vascular surgery in Salt Lake City, UT. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. INTERMOUNTAIN CARDIOVASCULAR ASSOC. NPI is 1487841987. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

370 9TH AVE
SUITE 208
SALT LAKE CITY, UT
ZIP 84103-877
Phone: (801) 408-2260
Fax: (801) 408-5236

The provider's authorized official is Michael P. Collins .
The authorized official title is Cardiothoracic Surgeon and has the following contact phone number (801) 408-2260.

The CLIA number assigned to this NPI record is 46D0524037 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/27/2007 and was last updated on 9/27/2007.

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: