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

Mountainstar Specialty Services LLC

Organization Surgery Physician · NPI 1265638357

Mountainstar Specialty Services LLC is a Surgery Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
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

1250 E 3900 S Ste 460
Salt Lake City, UT 84124-1348
Phone: (801) 262-3564
Fax: (801) 262-3613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (UT)

Record details

NPI number1265638357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louis Joseph — Vp · (615) 373-7630
NPI enumeratedJune 25, 2007
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4525

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