Organization
ALPINE PAIN & SPINAL REHABILITATION INC
Active
Organization
ALPINE PAIN & SPINAL REHABILITATION INC
Active
Other names
Alpine Pain Solutions of Utah Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT H EGAN APRN (PRESIDENT)
(801) 766-6055
Entity
Organization
Contact information
Practice address
3051 W MAPLE LOOP DR STE 125, LEHI, UT 84043-5620
(801) 766-6055
(888) 611-8840
Mailing address
3051 W MAPLE LOOP DR STE 125, LEHI, UT 84043-5620
(801) 766-6055
(888) 611-8840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063492304
—
UT
Enumeration date
11/14/2017
Last updated
10/16/2024
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