Provider Demographics
NPI:1780454645
Name:ALPINE SPINE & ORTHOPEDICS INSTITUTE
Entity type:Organization
Organization Name:ALPINE SPINE & ORTHOPEDICS INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCMURTREY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MSC
Authorized Official - Phone:801-500-3001
Mailing Address - Street 1:920 E 800 N STE 202
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-4257
Mailing Address - Country:US
Mailing Address - Phone:801-500-3001
Mailing Address - Fax:801-787-0787
Practice Address - Street 1:920 E 800 N STE 202
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-4257
Practice Address - Country:US
Practice Address - Phone:801-500-3001
Practice Address - Fax:801-797-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service