Healthcare Provider Details

I. General information

NPI: 1356083604
Provider Name (Legal Business Name): MOUNTAIN VIEW ENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 04/08/2022
Certification Date: 04/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3665 S 8400 W STE 260
MAGNA UT
84044-4912
US

IV. Provider business mailing address

3665 S 8400 W STE 260
MAGNA UT
84044-4912
US

V. Phone/Fax

Practice location:
  • Phone: 801-971-5185
  • Fax: 801-250-3204
Mailing address:
  • Phone: 801-971-5185
  • Fax: 801-250-3204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173F00000X
TaxonomySleep Specialist (PhD)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL D CATTEN
Title or Position: OWNER
Credential: MD
Phone: 801-971-5185