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Organization
RIDGELINE ORTHOPEDIC SPECIALISTS LLC
Active
Organization
RIDGELINE ORTHOPEDIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJ YERGENSEN (ADMIN)
(435) 986-9369
Entity
Organization
Contact information
Practice address
700 W 800 N STE 100, OREM, UT 84057-6301
(435) 986-9369
Mailing address
700 W 800 N STE 100, OREM, UT 84057-6301
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
Other
Enumeration date
06/22/2026
Last updated
06/29/2026
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