Southwest Spine and Pain Care Specialists LLC

NPI #1134582570 in Logan, Utah

Provider Information

NPI Number
1134582570
Entity Type
Organization
Organization Name
Southwest Spine and Pain Care Specialists LLC
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
Apr 2, 2016
Last Updated
Sep 27, 2016

Practice Location

Address
630 E 1400 N
Address 2
SUITE 135
City
Logan
State
Utah
ZIP Code
84341-2534
Phone
(435) 656-2424

Authorized Official

Name
JON OBTAY, MD
Title
PRESIDENT
Phone
(435) 656-2424

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine

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