Organization
MOUNTAIN WEST MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON WEST (PRESIDENT)
(801) 825-2300
Entity
Organization
Contact information
Practice address
120 S STATE ST, SUITE B, CLEARFIELD, UT 84015-1010
(801) 825-2300
(801) 779-0807
Mailing address
PO BOX 666, CLEARFIELD, UT 84089-0666
(801) 825-2300
(801) 779-0807
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
D67761
UT
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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