Coral Desert Spine Surgery
Coral Desert Spine Surgery is a Specialist in St George, Utah. Licensed in Utah. Registered with an NPI since 2011.
- Licensed in
- UT
- In the registry since
- 2011
Practice location Address checks out
1490 E Foremaster Dr Ste 220St George, UT 84790-4498
Phone: (435) 656-8366
Fax: (435) 656-8370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 5064080-1205 (UT) |
|---|
Record details
| NPI number | 1376839902 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Church — Owner · (435) 656-8366 |
| NPI enumerated | June 22, 2011 |
| Last updated in NPPES | September 11, 2012 |
| Mailing address | 1490 E Foremaster Dr Ste 220, St George, UT 84790-4498 |
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