Organization
MOUNTAIN SPINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D SNOOK MD (MEDICAL DOCTOR/ OWNER)
(385) 414-7080
Entity
Organization
Contact information
Practice address
11613 S STATE ST, DRAPER, UT 84020-9456
(385) 414-7080
(385) 325-0004
Mailing address
63 E 11400 S # 245, SANDY, UT 84070-6705
(385) 414-7080
(385) 325-0004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5688087-1205
UT
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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