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MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC NPI 1720035520


NPI Information

NPI: 1720035520
Provider Name: MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC

Former Legal Business Name: UTAH RADIOLOGY ASSOCIATES

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
5334 S WOODROW ST STE 101
MURRAY, UT
ZIP 84107
Phone: (801) 284-1755
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MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC is a diagnostic radiology radiology in Murray, UT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC NPI is 1720035520. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Utah Radiology Associates.

The provider's business location address is:

5334 S WOODROW ST STE 101
MURRAY, UT
ZIP 84107-838
Phone: (801) 284-1755

The provider's authorized official is Julie Penrod .
The authorized official title is Ceo and has the following contact phone number (801) 284-1705.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 10/6/2020.


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
12085B0100XRadiologyBody Imaging1328836-0144UTAHNo
22085N0700XRadiologyNeuroradiology1328836-0144UTAHNo
32085R0204XRadiologyVascular & Interventional Radiology1328836-0144UTAHNo
42086S0129XSurgeryVascular Surgery1328836-0144UTAHNo
52085R0202XRadiologyDiagnostic Radiology1328836-0144UTAHYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.