# ALPINE MANAGEMENT AND CONSULTING

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

## Provider details

- **NPI number:** 1801879226
- **Authorized official:** SPENCER BOWEN HENINGER DPM (PODIATRIST)
- **Authorized official phone:** (435) 787-2000

## Contact information

- **Practice address:** 1030 MEDICAL DR STE A, BRIGHAM CITY, UT 84302-3276
- **Practice address phone:** (435) 723-9700
- **Practice address fax:** (435) 787-1913
- **Mailing address:** 2310 N 400 E, SUITE A, LOGAN, UT 84341-1788
- **Mailing address phone:** (435) 787-2000
- **Mailing address fax:** (435) 787-1913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | UT | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | UT | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | UT | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5336197-0501 | UT | — |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 10/04/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5166950002 | DME PTAN | UT |