Organization
SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC
Active
Parent organization
SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC
Other names
Vista Spine Sports and Injury Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC
Authorized official
JON B OBRAY MD (MANAGING PARTNER)
(435) 215-0230
Entity
Organization
Contact information
Practice address
2891 E MALL DRIVE, STE 200, SAINT GEORGE, UT 84790
(435) 688-1665
(435) 619-8634
Mailing address
PO BOX 912042, ST GEORGE, UT 84791-2042
(435) 215-0230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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