Basic Information
| Provider Information | |||||||||
| NPI: | 1275942484 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE ALPINE CLINIC, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12 YEATON RD | ||||||||
| Address2: | SUITE C4 | ||||||||
| City: | PLYMOUTH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032643457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035362270 | ||||||||
| FaxNumber: | 6035362277 | ||||||||
| Practice Location | |||||||||
| Address1: | 12 YEATON RD | ||||||||
| Address2: | SUITE C4 | ||||||||
| City: | PLYMOUTH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032643457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035362270 | ||||||||
| FaxNumber: | 6035362277 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2014 | ||||||||
| LastUpdateDate: | 06/14/2016 | ||||||||
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| AuthorizedOfficialLastName: | MACARTHUR | ||||||||
| AuthorizedOfficialFirstName: | DOUGALD | ||||||||
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| AuthorizedOfficialTitleorPosition: | AUTHORIZED OFFICAL | ||||||||
| AuthorizedOfficialTelephone: | 6038238600 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | NH11511 | NH | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.