# ALPINE SPINE SPORTS AND REHABILITATION, LLC

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

## Provider details

- **NPI number:** 1720121783
- **Authorized official:** BRIAN H MORGAN MD (MANAGING MEMBER)
- **Authorized official phone:** (801) 479-0312

## Contact information

- **Practice address:** 1916 N 700 W, SUITE 250, LAYTON, UT 84041-5673
- **Practice address phone:** (801) 479-0312
- **Practice address fax:** (801) 479-3364
- **Mailing address:** PO BOX 160534, CLEARFIELD, UT 84016-0534
- **Mailing address phone:** (801) 479-0312
- **Mailing address fax:** (801) 479-3364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 11/04/2015