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UTAH SPINE CARE LLC NPI 1700173473


NPI Information

NPI: 1700173473
Provider Name: UTAH SPINE CARE, LLC

Doing Business As: UTAH SPINE CARE

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
4403 HARRISON BLVD
STE 1815
OGDEN, UT
ZIP 84403
Phone: (801) 732-5950
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UTAH SPINE CARE, LLC is a neurological surgery in Ogden, UT. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. UTAH SPINE CARE, LLC NPI is 1700173473. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Utah Spine Care.

The provider's business location address is:

4403 HARRISON BLVD
STE 1815
OGDEN, UT
ZIP 84403-271
Phone: (801) 732-5950
Fax: (801) 732-5988

The provider's authorized official is Troy Fuller .
The authorized official title is Practice Administrator and has the following contact phone number (801) 732-5950.

The enumeration date for this NPI number is 7/1/2011 and was last updated on 10/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain Medicine1835611205UTAHNo
2208100000XPhysical Medicine & Rehabilitation1765801205UTAHNo
3207T00000XNeurological Surgery2626351205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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