MEDICARE: DR. AMBER D MOUNDAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	6806039	UT

General Provider Information

NPI Number	:	1396798039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMBER D MOUNDAY MD

Provider Business Mailing Address
First Line	:	5171 S COTTONWOOD ST STE 740
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84107-5705
Country	:	US
Telephone Number	:	801-507-9700
Fax Number	:

Provider Business Practice Location Address
First Line	:	5171 S COTTONWOOD ST STE 740
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84107-5705
Country	:	US
Telephone Number	:	801-507-9700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	09/08/2025

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