Organization
ALPINE MANAGEMENT AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE TAYLOR (DIRECTOR OF OPERATIONS)
(801) 505-0821
Entity
Organization
Contact information
Practice address
2310 N 400 E STE A, LOGAN, UT 84341-1796
(435) 787-2000
(435) 787-1913
Mailing address
2310 N 400 E STE A, LOGAN, UT 84341-1796
(435) 787-2000
(435) 787-1913
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
336606-1205
UT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
9417126-1205
UT
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
5336197-0501
UT
Other
Enumeration date
01/28/2018
Last updated
03/17/2018
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