Organization
LAKEVIEW PROFESSIONAL BILLING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE J DALTON (CFO)
(801) 299-2501
Entity
Organization
Contact information
Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-2200
(801) 299-2392
Mailing address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-2200
(801) 299-2392
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2007-HOSP-189
UT
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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