OrganizationActive
Intermountain Ear,nose, and Throat Specialists LLC
NPI 1487764411 · Medical Specialty Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1487764411
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Evon Pefaur, Billing Manager(801) 328-2522
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
22 S 900 E
Salt Lake City, UT 84102-1307
Phone: (801) 328-2522
Fax: (801) 924-2900
Approximate (ZIP-level) locationGet directions
Mailing address
22 S 900 E
Salt Lake City, UT 84102-1307
Other names (DBA / former)
- Former legal business name
- Ear,nose and Throat Center of Salt Lake City
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.