OrganizationActive
Mountain West Hearing and Speech
NPI 1700902376 · Audiologist-Hearing Aid Fitter · Salt Lake City, UT
Provider details
- NPI number
- 1700902376
- Entity type
- Organization
- Primary specialty
- Audiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Richard Van Wagoner, President(801) 268-6497
- License
- 104094-4101 (UT)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
777 E 4500 S Ste 110
Salt Lake City, UT 84107-3056
Phone: (801) 268-6497
Fax: (801) 268-1376
Approximate (ZIP-level) locationGet directions
Mailing address
777 E 4500 S Ste 110
Salt Lake City, UT 84107-3056
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.