| Maple Mountain Medical Llc | |
|
724 S 1600 W Mapleton UT 84664-4347 | |
| (801) 515-6048 | |
| (855) 848-5748 |
| Full Name | Maple Mountain Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 724 S 1600 W, Mapleton, Utah |
| Authorized Official Name and Position | Michael Johnson (CEO) |
| Authorized Official Contact | 3323303903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Mountain Medical Llc 724 S 1600 W Mapleton UT 84664-4347 Ph: (801) 515-6048 | Maple Mountain Medical Llc 724 S 1600 W Mapleton UT 84664-4347 Ph: (801) 515-6048 |
| NPI Number | 1629816228 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629816228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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