# UTAH ORTHO SPINE,LLC

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

## Provider details

- **NPI number:** 1952134405
- **Authorized official:** DR. ROSS SHERBAN DO (PRESIDENT)
- **Authorized official phone:** (801) 875-1120

## Contact information

- **Practice address:** 84 W 4800 S STE 101, MURRAY, UT 84107-3781
- **Practice address phone:** (801) 875-1120
- **Mailing address:** 84 W 4800 S STE 101, MURRAY, UT 84107-3781
- **Mailing address phone:** (801) 875-1120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2024
- **Last updated:** 08/21/2024