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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

NPI # 1700173473
LBN Legal business name UTAH SPINE CARE, LLC
Authorized official TROY FULLER - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2011
Last updated 10/03/2016 - About 10 years ago
Identifiers
UT License # 1765801205
UT License # 1835611205
UT License # 2626351205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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