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Organization
SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC
Active
Organization
SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON OBTAY MD (PRESIDENT)
(435) 656-2424
Entity
Organization
Contact information
Practice address
630 E 1400 N, SUITE 135, LOGAN, UT 84341-2534
(435) 656-2424
(535) 787-8149
Mailing address
652 S MEDICAL CENTER DR, SUITE 110, ST GEORGE, UT 84790-7049
(435) 656-2424
(535) 787-8149
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/02/2016
Last updated
09/27/2016
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