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Organization
ADVANCED SPINE PAIN SPECIALISTS
Active
Organization
ADVANCED SPINE PAIN SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKAS GARG MD (OWNER)
(435) 753-1600
Entity
Organization
Contact information
Practice address
286 N GATEWAY DR STE 201, PROVIDENCE, UT 84332-5603
(435) 932-6125
(435) 932-6130
Mailing address
274 N MAIN ST, LOGAN, UT 84321-3915
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
8233A
WY
208VP0014X
Interventional Pain Medicine Physician
8233A
WY
Other
Enumeration date
03/17/2010
Last updated
10/07/2019
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