Organization
SCENIC WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN NOVAK (OWNER)
(801) 951-2351
Entity
Organization
Contact information
Practice address
4252 S BIRKHILL BLVD, MURRAY, UT 84107-5715
(385) 425-0050
(801) 296-1715
Mailing address
PO BOX 1249, BOUNTIFUL, UT 84011-1249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/08/2023
Last updated
06/24/2024
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