# MOUNTAIN WEST ANESTHESIA LLC

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

## Provider details

- **NPI number:** 1730765330
- **Authorized official:** COURTNEY MITCHELL BAILEY MD (PRESIDENT)
- **Authorized official phone:** (435) 649-1346

## Contact information

- **Practice address:** 201 W LAYTON PKWY, LAYTON, UT 84041-3692
- **Practice address phone:** (801) 543-6000
- **Mailing address:** PO BOX 3570, SALT LAKE CITY, UT 84110-3570
- **Mailing address phone:** (801) 727-2056
- **Mailing address fax:** (770) 701-6675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2021
- **Last updated:** 03/23/2021