Organization
MOUNTAIN WEST PEDIATRICS
Active
Other names
Elite Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CORINNE GONZALES (MANAGER)
(435) 843-8380
Entity
Organization
Contact information
Practice address
2356 N 400 E STE 202, TOOELE, UT 84074-3409
(435) 843-8380
Mailing address
2356 N 400 E STE 202, TOOELE, UT 84074-3409
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/25/2025
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