Provider Demographics
NPI:1548664717
Name:TROY I MOUNTS, M.D.,INC.
Entity type:Organization
Organization Name:TROY I MOUNTS, M.D.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:G
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-544-2500
Mailing Address - Street 1:PO BOX 1737
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93406-1737
Mailing Address - Country:US
Mailing Address - Phone:805-544-2500
Mailing Address - Fax:805-544-0832
Practice Address - Street 1:5000 SAN PALO RD
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-2481
Practice Address - Country:US
Practice Address - Phone:805-544-2500
Practice Address - Fax:805-544-0832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty