# UINTAH BASIN SPINE AND DISC CENTER, PC

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

## Provider details

- **NPI number:** 1508110040
- **Authorized official:** BRANDON LEE WHITE D.C. (PRESIDENT)
- **Authorized official phone:** (435) 459-9828

## Contact information

- **Practice address:** 1151 EAST HIGHWAY 40, ROOSEVELT, UT 84066
- **Practice address phone:** (435) 459-9828
- **Mailing address:** PO BOX 1780, ROOSEVELT, UT 84066-1780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 8432483-1202 | UT | Yes |

## Other

- **Enumeration date:** 11/06/2012
- **Last updated:** 02/21/2013