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Contact Information

MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC
5334 S WOODROW ST STE 100
MURRAY, UT84107-5838
 Phone: 801-713-0600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Neuroradiology

2085N0700X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC

NPI Number 1720035520
LBN Legal business name MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC
Authorized official ROGER STIMPSON - (MEDICAL DIRECTOR/AO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2006
Last updated 04/17/2026 - About 2 months ago
Identifiers
UT License # 1328836-0144
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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