Alpine Sports Medicine

NPI #1710346960 in Park City, Utah

Provider Information

NPI Number: 1710346960
Entity Type: Organization
Organization Name: Alpine Sports Medicine
Primary Specialty: Specialist
Enumeration Date: Feb 16, 2016
Last Updated: Feb 16, 2016

Practice Location

Address: 1850 SIDEWINDER DR
City: Park City
State: Utah
ZIP Code: 84060-7471
Phone: (435) 645-9095

Authorized Official

Name: LYNNE BALTZAN
Title: FRONT OFFICE
Phone: (435) 645-9095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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