ALTA CANYON SPINE LLC NPI 1477081412

NPI Information

ALTA CANYON SPINE LLC is an orthopaedic surgery of the spine orthopaedic surgery in Salt Lake City, UT. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. ALTA CANYON SPINE LLC NPI is 1477081412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5770 S 250 E STE 135
SALT LAKE CITY, UT
ZIP 84107-241
Phone: (801) 314-2225
Fax: (801) 314-2345

The provider's authorized official is Justin Burnell Hohl .
The authorized official title is Md and has the following contact phone number (801) 314-2225.

The CLIA number assigned to this NPI record is 46D2198594 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 6/2/2017 and was last updated on 6/16/2018.

Taxonomy Codes

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Other Identifiers

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