# SOUTHWEST MUSCULOSKELETAL MEDICINE CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwest Musculoskeletal Medicine Clinic PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366587867
- **Authorized official:** LISA STEARNS OM (OFFICE MANAGER)
- **Authorized official phone:** (435) 688-1128

## Contact information

- **Practice address:** 515 S. 300 E., \#101, ST GEORGE, UT 84770
- **Practice address phone:** (435) 688-8413
- **Practice address fax:** (435) 673-4045
- **Mailing address:** 515 S. 300 E., \#101, ST GEORGE, UT 84770
- **Mailing address phone:** (435) 688-8413
- **Mailing address fax:** (435) 673-4045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5525633-1205 | UT | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 05/02/2012