Organization
MOUNTAIN VIEW MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON L ASTLE MD (PHYSICIAN)
(801) 774-8888
Entity
Organization
Contact information
Practice address
124 S FAIRFIELD RD, LAYTON, UT 84041
(801) 774-8888
(801) 825-8519
Mailing address
2122 W 1800 N, PMB 413, CLINTON, UT 84015
(801) 774-8888
(801) 825-8519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
158641-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529601383012
—
UT
Enumeration date
09/01/2006
Last updated
07/23/2007
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