Organization
MOUNTAIN WEST CARDIOVASCULAR ASSOCIATES, PC
Active
Other names
Heart Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI J WARDLE (CREDENTIALING CO)
(801) 676-3723
Entity
Organization
Contact information
Practice address
74 KIMBALLS LN, SUITE 260 A, DRAPER, UT 84020-5004
(801) 571-6100
Mailing address
1160 E 3900 S, SUITE 2000, SALT LAKE CITY, UT 84124-1202
(801) 266-3418
(801) 288-4456
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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