# MOUNTAIN ORTHOPAEDICS LLC

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

## Provider details

- **NPI number:** 1952019846
- **Authorized official:** CLINT WOOTEN MD (OWNER/ PHYSICIAN)
- **Authorized official phone:** (801) 295-7200

## Contact information

- **Practice address:** 1551 RENAISSANCE TOWNE DR STE 500, BOUNTIFUL, UT 84010-7678
- **Practice address phone:** (801) 295-7200
- **Mailing address:** PO BOX 33539, BELFAST, ME 04915-0613
- **Mailing address phone:** (801) 295-7200
- **Mailing address fax:** (801) 295-4930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2022
- **Last updated:** 09/17/2025
