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

Mountain West Family Practice LLC

Organization Family Medicine Physician · NPI 1770581605

Mountain West Family Practice LLC is a Family Medicine Physician in Tooele, Utah. Works from 3 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2005
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

2356 N 400 E Ste 201
Tooele, UT 84074
Phone: (435) 882-2350
Fax: (435) 882-2039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548 — (801) 789-2444
  • 3688 W 2100 S, Salt Lake City, UT 84120-1202 — (435) 830-0554

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2005172 (UT)

Record details

NPI number1770581605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blake Beazer — President · (435) 882-2350
NPI enumeratedJuly 13, 2005
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020
Mailing address2356 N 400 E, Suite 201, Tooele, UT 84074

Other providers in Tooele