Intermountain Medical Monitoring LLC
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Fruit Heights, UT
NPI 1134429384 · NPPES record last updated Nov 10, 2011
Key facts
- NPI
- 1134429384
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 6049595-1204 (UT)
- Legal business name
- INTERMOUNTAIN MEDICAL MONITORING LLC
- Practice address
- 1306 Deer Crest
Fruit Heights, UT 84037 - Phone
- (801) 755-4509
- Fax
- (801) 593-9848
- NPI assigned
- Oct 21, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Darin S Stettler, D.O.
- Title
- Owner/Manager/Board Member
- Phone
- (801) 755-4509
National Provider Directory
Locations
6028 S Ridgeline Dr
Ste 101
Ogden, UT 84405
Phone (801) 409-2044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | 6049595-1204 | UT | Yes |
Addresses
Primary practice location
1306 Deer Crest
Fruit Heights, UT 84037
Mailing address
1306 Deercrest
Fruit Heights, UT 84037
Phone (801) 755-4509
Other providers in Fruit Heights, UT
- Tyler Farnes
- Scott Gene Ferguson Jr.
- Christine Gailey
- Lucinda Rae Hally
- Infant Massage With Bri
- Vila Noemi Kunkel
- Jordon Lebaron
- Mobile Infection Detection
- Haley Nicole Nelson
- Optimal Self LLC
All providers in Fruit Heights, UT · Pain Medicine (Anesthesiology) Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.