Maple Mountain Medical LLC
Organization Active NPI Family Medicine Physician · Mapleton, UT
NPI 1629816228 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1629816228
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MAPLE MOUNTAIN MEDICAL LLC
- Practice address
- 724 S 1600 W
Mapleton, UT 84664-4347 - Phone
- (801) 515-6048
- Fax
- (855) 848-5748
- NPI assigned
- Jul 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Michael Johnson
- Title
- Ceo
- Phone
- (332) 330-3903
National Provider Directory
Locations
724 S 1600 W
Mapleton, UT 84664
Phone (801) 515-6048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
724 S 1600 W
Mapleton, UT 84664-4347
Mailing address
724 S 1600 W
Mapleton, UT 84664-4347
Phone (801) 515-6048
Other providers in Mapleton, UT
- Zachary Troy Johnson
- Camille Jorgensen
- James Lamm
- Maple Mountain Clinic, LLC
- Maple Mountain Dental PLLC Dba Maple Mountain Dentistry
- Maple Mountain Pharmacy Inc
- Maple Mountain Pharmacy Inc.
- Maple Mountain Recovery
- Mapleton City Corporation
- Mapleton Opco LLC
All providers in Mapleton, UT · Family Medicine 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 Jul 17, 2024. 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.