Organization
SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC
Active
Parent organization
SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC
Other names
Physicians Laboratory Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC
Authorized official
DEREK LEE FRIEDEN MD (MANAGING PARTNER)
(435) 656-2424
Entity
Organization
Contact information
Practice address
2051 E RED HILLS PKWY STE 7, ST GEORGE, UT 84770-8671
(435) 703-2930
(435) 703-2933
Mailing address
652 S MEDICAL CENTER DR STE 110, ST GEORGE, UT 84790-7077
(435) 656-2424
(435) 986-7092
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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