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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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