Individual
TROY MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2174 E 450 S, SPANISH FORK, UT 84660-5830
(435) 660-9090
Mailing address
2174 E 450 S, SPANISH FORK, UT 84660-5830
(435) 660-9090
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
A03116
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43-0047-00
AUTO-OWNERS INSURANCE
UT
Enumeration date
03/21/2022
Last updated
03/21/2022
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