# INTERMOUNTAIN EAR,NOSE, AND THROAT SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ear,Nose and Throat Center of Salt Lake City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487764411
- **Authorized official:** EVON PEFAUR CPC (BILLING MANAGER)
- **Authorized official phone:** (801) 328-2522

## Contact information

- **Practice address:** 22 S 900 E, SALT LAKE CITY, UT 84102-1307
- **Practice address phone:** (801) 328-2522
- **Practice address fax:** (801) 924-2900
- **Mailing address:** 22 S 900 E, SALT LAKE CITY, UT 84102-1307
- **Mailing address phone:** (801) 328-2522
- **Mailing address fax:** (801) 924-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 04/20/2008