Organization · NPI-2
Alpine Center Medical Services Lc
Family Medicine, Addiction Medicine · Salt Lake City, UT
NPI number1831421429
StatusActive
Last updated in NPPESFeb 5, 2010
Details
- NPI
- 1831421429
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpine Center Medical Services Lc
- Organization subpart
- No
- Enumeration date
- Feb 5, 2010
- Last updated
- Feb 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | – | – | Yes |
Practice location
5689 S Redwood RdSuite 30
Salt Lake City, UT 84123-5447
Phone 801-268-1715 · Fax 801-268-1783
Mailing address
5689 S Redwood RdSuite 30
Salt Lake City, UT 84123-5447
Phone 801-268-1715 · Fax 801-268-1783
Authorized official
Heather Michelle Child
Administrator
8012681715
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