MEDICARE: ALPINE MEDICAL GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1740216860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPINE MEDICAL GROUP, LLC

Provider Business Mailing Address
First Line	:	24 S 1100 E STE 310
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-4507
Country	:	US
Telephone Number	:	801-328-1260
Fax Number	:	801-350-4361

Provider Business Practice Location Address
First Line	:	24 S 1100 E STE 310
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1500
Country	:	US
Telephone Number	:	801-328-1260
Fax Number	:	801-350-4361

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	TONI NOERRING
Credential	:
Telephone Number	:	801-328-1260

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	12/02/2025

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Directions to “ALPINE MEDICAL GROUP, LLC ” Practice Location

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