Organization · Type 2 NPI

Mountain Spine PC

Specialist · Draper, UT

NPI number 1699209221 Active

Practice location

11613 S State St
Draper, UT 84020-9456

Call (385) 414-7080 Map

Fax (385) 325-0004

Mailing address

63 E 11400 S # 245
Sandy, UT 84070-6705

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X5688087-1205 (UT)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1699209221

Mountain Spine PC's National Provider Identifier is 1699209221, issued on Apr 20, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Draper, UT. The record was last updated on Apr 20, 2017.