# INTERMOUNTIAN LIPID CENTER

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

## Provider details

- **NPI number:** 1699043943
- **Authorized official:** ELIOT ASHBY BRINTON MD (OWNER)
- **Authorized official phone:** (801) 581-6862

## Contact information

- **Practice address:** 421 S WAKARA WAY STE 121, SALT LAKE CITY, UT 84108-1244
- **Practice address phone:** (801) 583-8852
- **Practice address fax:** (801) 581-6862
- **Mailing address:** PO BOX 268, BOUNTIFUL, UT 84011-0268
- **Mailing address phone:** (801) 296-2113
- **Mailing address fax:** (801) 296-1715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 5353571-1205 | UT | Yes |

## Other

- **Enumeration date:** 12/01/2011
- **Last updated:** 02/06/2018