Organization
INTERMOUNTIAN LIPID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIOT ASHBY BRINTON MD (OWNER)
(801) 581-6862
Entity
Organization
Contact information
Practice address
421 S WAKARA WAY STE 121, SALT LAKE CITY, UT 84108-1244
(801) 583-8852
(801) 581-6862
Mailing address
PO BOX 268, BOUNTIFUL, UT 84011-0268
(801) 296-2113
(801) 296-1715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5353571-1205
UT
Other
Enumeration date
12/01/2011
Last updated
02/06/2018
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