Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI # | 1063009678 |
| LBN Legal business name | MOUNTAIN VIEW MD |
| Authorized official | ALISTAIR MCNALLY - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/29/2020 |
| Last updated | 11/16/2021 - About 5 years ago |
| Identifiers | n/a |
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