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Contact Information

UTAH SPINE CARE, LLC
4403 HARRISON BLVD
STE 1815
OGDEN, UT84403-3271
 Phone: 801-732-5950
 Fax: 801-732-5988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for UTAH SPINE CARE LLC · (Female)

NPI # 1700173473
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2011
Last updated 10/03/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 1765801205
  • UT License # 1835611205
  • UT License # 2626351205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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