OrganizationActive
Mountainstar Canyon Surgical Clinic LLC
NPI 1831424324 · Surgery Physician · Brigham City, UT
Provider details
- NPI number
- 1831424324
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Kane, Vice President(801) 569-5933
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
984 Medical Dr
Suite 2
Brigham City, UT 84302-3604
Phone: (435) 723-0329
Fax: (435) 723-0429
Street-level locationGet directions
Mailing address
984 Medical Dr
Brigham City, UT 84302-3604
Registry dates
- Enumerated
- 2009-10-16
- Last updated
- 2010-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.