# MOUNTAIN WEST CLINICAL SERVICES

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

## Provider details

- **NPI number:** 1578210753
- **Authorized official:** JULIE LINDBERG PHARMD (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (385) 399-7379

## Contact information

- **Practice address:** 1551 RENAISSANCE TOWNE DR STE 104, BOUNTIFUL, UT 84010-7682
- **Practice address phone:** (385) 399-7379
- **Mailing address:** 1551 RENAISSANCE TOWNE DR STE 104, BOUNTIFUL, UT 84010-7682
- **Mailing address phone:** (385) 399-7379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2022
- **Last updated:** 03/07/2022