Alpine Plastic and Reconstructive Surgery, LLC

NPI #1013121003 in Ogden, Utah

Provider Information

NPI Number: 1013121003
Entity Type: Organization
Organization Name: Alpine Plastic and Reconstructive Surgery, LLC
Primary Specialty: Specialist
Enumeration Date: May 9, 2007
Last Updated: May 30, 2013

Practice Location

Address: 5405 S 500 E
Address 2: SUITE101
City: Ogden
State: Utah
ZIP Code: 84405-6957
Phone: (801) 689-3500

Authorized Official

Name: MS. CAROLE T GROBE, CCS-P, CPC
Title: BILLING BUSINESS MANAGER
Phone: (801) 689-3506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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