MOUNTAIN SPINE PC
NPI 1699209221
Specialist in Draper, UT
- Organization
- Specialist
About MOUNTAIN SPINE PC
This page provides the complete NPI Profile along with additional information for Mountain Spine Pc, a provider established in Draper, Utah operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1699209221 assigned on April 2017. The practitioner's primary taxonomy code is 174400000X with license number 5688087-1205 (UT). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Gary D Snook Md (Medical Doctor/ Owner)
- NPI
- 1699209221 Verify this NPI
- Provider Name
- MOUNTAIN SPINE PC
- Entity Type
- Organization
- Location Address
- 11613 S STATE ST DRAPER, UT 84020
- Location Phone
- (385) 414-7080
- Location Fax
- (385) 325-0004
- Mailing Address
- 63 E 11400 S # 245 SANDY, UT 84070
- Mailing Phone
- (385) 414-7080
- Mailing Fax
- (385) 325-0004
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-20-2017
- Last Update Date
- 04-20-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 5688087-1205
- License State
- UT
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699209221, enumerated as an "organization" on April 20, 2017.
The provider is located at 11613 S STATE ST DRAPER, UT 84020 and the phone number is (385) 414-7080.
Specialist with taxonomy code 174400000X.
