Organization
MOUNTAIN VIEW MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON LAFARR ASTLE M.D, (PRESIDENT)
(801) 774-8888
Entity
Organization
Contact information
Practice address
2122 WEST 1800 NORTH PMB 413, CLINTON, UT 84015
(801) 774-8888
Mailing address
2122 W 1800 N PMB 413, CLINTON, UT 84015-7923
(801) 774-8888
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
07/30/2007
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