# MOUNTAIN SUN MEDICAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073493359
- **Authorized official:** DR. ADAM BINNEBOESE MD (TENURED PHYSICIAN)
- **Authorized official phone:** (801) 796-2641

## Contact information

- **Practice address:** 1240 E STRINGHAM AVE STE 1034, SALT LAKE CITY, UT 84106-2560
- **Practice address phone:** (801) 796-2641
- **Practice address fax:** (205) 891-1270
- **Mailing address:** 1240B E STRINGHAM AVE STE 1034, SALT LAKE CITY, UT 84106-2490
- **Mailing address phone:** (801) 796-2641
- **Mailing address fax:** (205) 891-1270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2025
- **Last updated:** 09/05/2025