# MOUNTAIN SPRINGS FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Rejuvenation Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578707352
- **Authorized official:** DR. RANDY R. LUNDELL D.O. (OWNER)
- **Authorized official phone:** (801) 504-6117

## Contact information

- **Practice address:** 954 N 200 E STE 954, SPANISH FORK, UT 84660
- **Practice address phone:** (801) 504-6117
- **Practice address fax:** (801) 504-6328
- **Mailing address:** 954 N 200 E STE 954, SPANISH FORK, UT 84660-1247
- **Mailing address phone:** (801) 504-6117
- **Mailing address fax:** (801) 504-6328

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2009
- **Last updated:** 07/02/2018