Organization
MOUNTAIN WEST PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN PAYNE DPM (OWNER)
(801) 447-1615
Entity
Organization
Contact information
Practice address
380 S MAIN ST, CENTERVILLE, UT 84014-2266
(801) 447-1615
Mailing address
PO BOX 607, CENTERVILLE, UT 84014-0607
(807) 447-1615
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
01/15/2024
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