Mountain West Anesthesia LLC

NPI #1134705759 in Provo, Utah

Provider Information

NPI Number: 1134705759
Entity Type: Organization
Organization Name: Mountain West Anesthesia LLC
Primary Specialty: Anesthesiology
Enumeration Date: Mar 23, 2021
Last Updated: Mar 23, 2021

Practice Location

Address: 1034 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3380
Phone: (801) 357-7850

Authorized Official

Name: COURTNEY MITCHELL BAILEY, MD
Title: PRESIDENT
Phone: (435) 649-1346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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