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Organization

MOUNTAIN WEST ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TACY LYNN BROWN (DIRECTOR OF BILLING AND COMPLIANCE)
(801) 990-1910
Entity
Organization

Contact information

Practice address
3300 N TRIUMPH BLVD STE G50, LEHI, UT 84043-6480
(801) 990-1911
(801) 990-1912
Mailing address
PO BOX 25068, SALT LAKE CITY, UT 84125-0068
(801) 990-1911
(801) 990-1912

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
07/04/2006
Last updated
04/30/2026
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