Organization
ALPINE CENTER MEDICAL SERVICES LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MICHELLE CHILD (ADMINISTRATOR)
(801) 268-1715
Entity
Organization
Contact information
Practice address
5689 S REDWOOD RD, SUITE 30, SALT LAKE CITY, UT 84123-5447
(801) 268-1715
(801) 268-1783
Mailing address
5689 S REDWOOD RD, SUITE 30, SALT LAKE CITY, UT 84123-5447
(801) 268-1715
(801) 268-1783
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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