Coral Desert Spine Surgery

NPI #1376839902 in St George, Utah

Provider Information

NPI Number: 1376839902
Entity Type: Organization
Organization Name: Coral Desert Spine Surgery
Primary Specialty: Specialist
Enumeration Date: Jun 22, 2011
Last Updated: Sep 11, 2012

Practice Location

Address: 1490 E FOREMASTER DR STE 220
City: St George
State: Utah
ZIP Code: 84790-4498
Phone: (435) 656-8366

Authorized Official

Name: MR. RYAN D CHURCH, FNP-C
Title: OWNER
Phone: (435) 656-8366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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