| Anodyne Of Alpine Llc | |
|
11020 N 5500 W Ste 150 Highland UT 84003-9645 | |
| (801) 829-7772 | |
| (801) 876-5767 |
| Full Name | Anodyne Of Alpine Llc |
|---|---|
| Speciality | General Practice |
| Location | 11020 N 5500 W Ste 150, Highland, Utah |
| Authorized Official Name and Position | Greg Simons (CEO) |
| Authorized Official Contact | 8018297772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anodyne Of Alpine Llc 11020 N 5500 W Ste 150 Highland UT 84003-9645 Ph: (801) 829-7772 | Anodyne Of Alpine Llc 11020 N 5500 W Ste 150 Highland UT 84003-9645 Ph: (801) 829-7772 |
| NPI Number | 1689334419 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Medicare PECOS PAC ID | 5092108761 |
|---|---|
| Medicare Enrollment ID | O20220202001758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689334419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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