Provider Demographics
NPI:1013038231
Name:UTAH ORTHOPAEDIC ASSOCIATES
Entity Type:Organization
Organization Name:UTAH ORTHOPAEDIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCQUEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-261-2232
Mailing Address - Street 1:1250 E 3900 S
Mailing Address - Street 2:#440
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1348
Mailing Address - Country:US
Mailing Address - Phone:801-261-2232
Mailing Address - Fax:801-246-1138
Practice Address - Street 1:1250 E 3900 S
Practice Address - Street 2:#440
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84124-1348
Practice Address - Country:US
Practice Address - Phone:801-261-2232
Practice Address - Fax:801-246-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty