Organization
ADVANCED SPINE AND SPORT CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BELGE (BILLING MANAGER)
(435) 781-6035
Entity
Organization
Contact information
Practice address
1783 W 1000 S, VERNAL, UT 84078-4115
(435) 781-6035
(435) 781-6040
Mailing address
PO BOX 955, VERNAL, UT 84078-0955
(435) 781-6035
(435) 781-6040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
11/21/2024
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