Organization
HEALTHTRUST UTAH MGMT SERVICES, INC
Active
Other names
Mountainstar Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
JODY DIAL (DIVISION CONTROLLER)
(801) 568-5977
Entity
Organization
Contact information
Practice address
6985 UNION PARK CTR, STE 500, COTTONWOOD HEIGHTS, UT 84047-4177
(801) 568-5977
Mailing address
PO BOX 271220, SALT LAKE CITY, UT 84127-1220
(801) 736-0720
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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