# SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134582570
- **Authorized official:** JON OBTAY MD (PRESIDENT)
- **Authorized official phone:** (435) 656-2424

## Contact information

- **Practice address:** 630 E 1400 N, SUITE 135, LOGAN, UT 84341-2534
- **Practice address phone:** (435) 656-2424
- **Practice address fax:** (535) 787-8149
- **Mailing address:** 652 S MEDICAL CENTER DR, SUITE 110, ST GEORGE, UT 84790-7049
- **Mailing address phone:** (435) 656-2424
- **Mailing address fax:** (535) 787-8149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2016
- **Last updated:** 09/27/2016