Mountain View Medical, LLC
Organization Active NPI Point of Service · Clinton, UT
NPI 1275730749 · NPPES record last updated Jul 30, 2007
Key facts
- NPI
- 1275730749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Point of Service 305S00000X
- Legal business name
- MOUNTAIN VIEW MEDICAL, LLC
- Practice address
- 2122 West 1800 North PMB 413
Clinton, UT 84015 - Phone
- (801) 774-8888
- NPI assigned
- Jun 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Nelson Lafarr Astle, M.D,
- Title
- President
- Phone
- (801) 774-8888
Practitioners 11
-
Sheryl Swain Aguilar, RD, CDE
-
Nelson L Astle, MD
-
Gretel K Crison, DPM
-
Ronald Gary Drescher, PAC
-
Corey L Ericksen, DO
-
Kolleen Marchand, PA-C
-
David H Petersen, LCSW
-
Bryan L Seagle, D.P.M.
-
Traysa S Smith, PA-C
National Provider Directory
Locations
2122 W 1800 N
Clinton, UT 84015
Phone (801) 774-8888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Yes |
Addresses
Primary practice location
2122 West 1800 North PMB 413
Clinton, UT 84015
Mailing address
2122 W 1800 N PMB 413
Clinton, UT 84015-7923
Phone (801) 774-8888
Other providers in Clinton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2007. 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.