Organization
ALTA CANYON SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BURNELL HOHL MD (MD)
(385) 541-2225
Entity
Organization
Contact information
Practice address
5911 S FASHION BLVD STE 200, MURRAY, UT 84107-7210
(385) 541-2225
(855) 541-2200
Mailing address
5911 S FASHION BLVD STE 200, MURRAY, UT 84107-7210
(855) 412-2253
(385) 541-2200
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639371149
NPI
UT
Enumeration date
06/02/2017
Last updated
05/20/2025
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