Mountain Valley Physicians Services, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

7977575-1205 Issued in UT

Legal business name

MOUNTAIN VALLEY PHYSICIANS SERVICES, PC

Practice address

5406 W 11000 N Ste 103-236
Highland, UT 84003-8942

Phone

(888) 559-2666

Fax

(903) 454-2257

NPI assigned

Mar 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sloan Taylor, MD

Title

President

Phone

(214) 405-4300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1205102530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 PRESTON RD STE 660",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302739",
            "telephone_number": "888-559-2666",
            "fax_number": "903-454-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 W 11000 N STE 103-236",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038942",
            "telephone_number": "888-559-2666",
            "fax_number": "903-454-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY PHYSICIANS SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SLOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-405-4300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "7977575-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.