Mountainstar Medical Group- Cache Valley, LLC
NPI #1144475674 in Providence, Utah
Provider Information
- NPI Number
- 1144475674
- Entity Type
- Organization
- Organization Name
- Mountainstar Medical Group- Cache Valley, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 25, 2008
- Last Updated
- Jan 2, 2023
Practice Location
- Address
- 382 W 280 N
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-9753
- Phone
- (435) 752-0330
Authorized Official
- Name
- LOUIS JOSEPH
- Title
- VP
- Phone
- (615) 373-7630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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