Mountain Spine Pc

LBN: Mountain Spine Pc
Mountain Spine Pc is an health care organization with primary practice located at 11613 S State St , Draper UT 84020-9456. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mountain Spine Pc can be contacted via phone (385) 414-7080, or through Snook, Gary D via phone (385) 414-7080.

Contact Information

Primary practice address
11613 S State St Draper UT 84020-9456
Phone: (385) 414-7080
Fax: (385) 325-0004
Website:
Map and Directions
Authorized official contact:
Name: Snook, Gary D Doctor of Medicine (MD)
Phone: (385) 414-7080

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5688087-1205 Utah

Profile Details

NPI number 1699209221
LBN Legal business name Mountain Spine Pc
DBA Doing business as
Authorized official Snook, Gary D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2017
Last updated Apr 20th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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