Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maple Mountain Medical LLC

Organization Family Medicine Physician · NPI 1629816228

Maple Mountain Medical LLC is a Family Medicine Physician in Mapleton, Utah. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

724 S 1600 W
Mapleton, UT 84664-4347
Phone: (801) 515-6048
Fax: (855) 848-5748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1629816228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Johnson — Ceo · (332) 330-3903
NPI enumeratedJuly 17, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 15, 2024
Mailing address724 S 1600 W, Mapleton, UT 84664-4347

Other providers in Mapleton