Maple Mountain Medical LLC

NPI #1629816228 in Mapleton, Utah

Provider Information

NPI Number: 1629816228
Entity Type: Organization
Organization Name: Maple Mountain Medical LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 17, 2024
Last Updated: Jul 17, 2024

Practice Location

Address: 724 S 1600 W
City: Mapleton
State: Utah
ZIP Code: 84664-4347
Phone: (801) 515-6048

Authorized Official

Name: MICHAEL JOHNSON
Title: CEO
Phone: (332) 330-3903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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