# UTAH SPINE INSTITUTE

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

## Provider details

- **NPI number:** 1619347135
- **Authorized official:** DR. VIKAS GARG M.D, MSA (MEDICAL DIRECTOR/ OWNER)
- **Authorized official phone:** (206) 225-0724

## Contact information

- **Practice address:** 5801 S FASHION BLVD, SUITE 180, MURRAY, UT 84107-6159
- **Practice address phone:** (801) 262-7246
- **Practice address fax:** (801) 262-3442
- **Mailing address:** 5801 S FASHION BLVD, SUITE 180, MURRAY, UT 84107-6159
- **Mailing address phone:** (801) 262-7246
- **Mailing address fax:** (801) 262-3442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 261QA1903X | UT | Yes |

## Other

- **Enumeration date:** 09/26/2015
- **Last updated:** 09/26/2015