Organization
MOUNTAIN MEDICAL URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R. PACK M.D. (OWNER)
(801) 768-1555
Entity
Organization
Contact information
Practice address
127 EAST MAIN STREET, SUITE E, LEHI, UT 84043
(801) 768-1555
(801) 768-1569
Mailing address
1311 E WILLOW SPRINGS CIR, ALPINE, UT 84004-1790
(801) 756-6086
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529087890001
—
UT
Enumeration date
03/29/2007
Last updated
08/22/2020
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