# MOUNTAIN RIDGE HEALTHCARE PLLC

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

## Provider details

- **NPI number:** 1710695473
- **Authorized official:** DR. CHAD LLOYD ROBERTS MD (PHYSICIAN / BUSINESS OWNER)
- **Authorized official phone:** (801) 663-1296

## Contact information

- **Practice address:** 2135 W MAIN ST STE B105, LEHI, UT 84043-6936
- **Practice address phone:** (801) 663-1296
- **Mailing address:** 174 S 600 E, ALPINE, UT 84004-1724
- **Mailing address phone:** (801) 663-1296

## Taxonomy

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

## Other

- **Enumeration date:** 11/11/2022
- **Last updated:** 11/15/2022