| Alpine Family Medicine Llc | |
|
155 W Canyon Crest Rd Suite 200 Alpine UT 84004-1819 | |
| (801) 763-9851 | |
| (801) 763-9852 |
| Full Name | Alpine Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 155 W Canyon Crest Rd, Alpine, Utah |
| Authorized Official Name and Position | Daniel W Egan (M.D.) |
| Authorized Official Contact | 8017639851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Family Medicine Llc 155 W Canyon Crest Rd Suite 200 Alpine UT 84004-1819 Ph: (801) 763-9851 | Alpine Family Medicine Llc 155 W Canyon Crest Rd Suite 200 Alpine UT 84004-1819 Ph: (801) 763-9851 |
| NPI Number | 1427207836 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 03/30/2010 |
| Medicare PECOS PAC ID | 7911074828 |
|---|---|
| Medicare Enrollment ID | O20080918000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427207836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel W Egan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417066564 PECOS PAC ID: 2264336023 Enrollment ID: I20031122000117 |
| Provider Name | Peter V Sundwall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558470641 PECOS PAC ID: 3678486008 Enrollment ID: I20060117001068 |