Organization · Type 2 NPI

Coral Desert Spine Surgery

Specialist · St. George, UT

NPI number 1376839902 Active

Practice location

1490 E Foremaster Dr Ste 220
St. George, UT 84790-4498

Fax (435) 656-8370

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X5064080-1205 (UT)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5 other providers at this address

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About NPI 1376839902

Coral Desert Spine Surgery's National Provider Identifier is 1376839902, issued on Jun 22, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. George, UT. The record was last updated on Sep 11, 2012.