Healthcare Provider Details

I. General information

NPI: 1245434059
Provider Name (Legal Business Name): LANDON WESTLUND TROST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1443 W 800 N STE 302
OREM UT
84057-2883
US

IV. Provider business mailing address

1443 W 800 N STE 302
OREM UT
84057-2883
US

V. Phone/Fax

Practice location:
  • Phone: 801-655-0015
  • Fax: 801-655-0048
Mailing address:
  • Phone: 801-655-0015
  • Fax: 801-655-0048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD.205248
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number10970793-1205
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number51000
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: