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Organization

SPORT SPINE & WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIKEL RICHTER D.C. (OWNER)
(435) 703-9676
Entity
Organization

Contact information

Practice address
1664 S DIXIE DR, STE. F-103, ST GEORGE, UT 84770-7327
(435) 703-9676
Mailing address
1664 S DIXIE DR, STE. F-103, ST GEORGE, UT 84770-7327
(435) 703-9676

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
8536048-1202
UT

Other

Enumeration date
03/11/2013
Last updated
03/11/2013
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