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Organization

SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC

Active
Other names
Vista Sports Spine and Injury Center, Vista Endocrinology Specialists, Vista Neurology Specialists, Southwest Spine and Pain Center, Vista Joint and Arthritis Center, Physician Laboratory Services
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY PFATENHAUER (CREDENTIALING & CONTRACTING MANAGER)
(435) 215-0230
Entity
Organization

Contact information

Practice address
2891 E MALL DRIVE, STE. 101, SAINT GEORGE, UT 84791
(435) 656-2424
(435) 656-2828
Mailing address
PO BOX 912042, SAINT GEORGE, UT 84791-2042
(435) 656-2424
(435) 656-2828

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
133V00000X
Registered Dietitian
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
207QS0010X
Sports Medicine (Family Medicine) Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RR0500X
Rheumatology Physician
2084N0400X
Neurology Physician
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
08/10/2011
Last updated
01/28/2026
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