# RIDGELINE ORTHOPEDIC SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710813282
- **Authorized official:** AJ YERGENSEN (ADMIN)
- **Authorized official phone:** (435) 986-9369

## Contact information

- **Practice address:** 700 W 800 N STE 100, OREM, UT 84057-6301
- **Practice address phone:** (435) 986-9369
- **Mailing address:** 700 W 800 N STE 100, OREM, UT 84057-6301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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