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Mountainstar Cardiovascular Services LLC

NPI #1093996167 in Orem, Utah

Provider Information

NPI Number
1093996167
Entity Type
Organization
Organization Name
Mountainstar Cardiovascular Services LLC
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Nov 16, 2007
Last Updated
Nov 16, 2007

Practice Location

Address
698 W 800 N
Address 2
SUITE #210
City
Orem
State
Utah
ZIP Code
84057-3658
Phone
(801) 714-6412

Authorized Official

Name
MR. KIRT L. PETERSON
Title
ADMINISTRATOR
Phone
(801) 743-4750

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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