Organization
ALPINE MANAGEMENT AND CONSULTING
Active
Other names
Alpine Orthopaedic Specialists LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD J LARSON MD (AUTHORIZED OFFICIAL)
(435) 787-2000
Entity
Organization
Contact information
Practice address
2310 N 400 E, SUITE A, LOGAN, UT 84341-1788
(435) 787-2000
(435) 787-1913
Mailing address
PO BOX 30015 DEPT 214, SALT LAKE CITY, UT 84130-0015
(435) 787-2000
(435) 787-1913
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
UT
207PS0010X
Sports Medicine (Emergency Medicine) Physician
6763480-1205
UT
207X00000X
Orthopaedic Surgery Physician
336606-1205
UT
207XS0106X
Orthopaedic Hand Surgery Physician
9732143-1205
UT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
9417126-1205
UT
208100000X
Physical Medicine & Rehabilitation Physician
5139032-1205
UT
332B00000X
Durable Medical Equipment & Medical Supplies
5336197-0501
UT
Other
Enumeration date
02/26/2007
Last updated
04/03/2023
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