# SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vista Sports Spine and Injury Center, Vista Endocrinology Specialists, Vista Neurology Specialists, Southwest Spine and Pain Center, Vista Joint and Arthritis Center, Physician Laboratory Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144509985
- **Authorized official:** ASHLEY PFATENHAUER (CREDENTIALING & CONTRACTING MANAGER)
- **Authorized official phone:** (435) 215-0230

## Contact information

- **Practice address:** 2891 E MALL DRIVE, STE. 101, SAINT GEORGE, UT 84791
- **Practice address phone:** (435) 656-2424
- **Practice address fax:** (435) 656-2828
- **Mailing address:** PO BOX 912042, SAINT GEORGE, UT 84791-2042
- **Mailing address phone:** (435) 656-2424
- **Mailing address fax:** (435) 656-2828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NS0005X | Sports Physician Chiropractor | — | NULL | — |
| 111NS0005X | Sports Physician Chiropractor | — | — | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 01/28/2026
