Provider Demographics
NPI:1821893744
Name:HIGHLAND WEIGHT LOSS LLC
Entity type:Organization
Organization Name:HIGHLAND WEIGHT LOSS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:CPPM
Authorized Official - Phone:801-272-4111
Mailing Address - Street 1:4460 S HIGHLAND DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MILLCREEK
Mailing Address - State:UT
Mailing Address - Zip Code:84124-3565
Mailing Address - Country:US
Mailing Address - Phone:801-559-3848
Mailing Address - Fax:801-272-5989
Practice Address - Street 1:4460 S HIGHLAND DR STE 400
Practice Address - Street 2:
Practice Address - City:MILLCREEK
Practice Address - State:UT
Practice Address - Zip Code:84124-3565
Practice Address - Country:US
Practice Address - Phone:801-559-3848
Practice Address - Fax:801-272-5989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Single Specialty