| NPI | 1144509985 |
|---|---|
| Doing Business As | PHYSICIAN LABORATORY SERVICES |
| Doing Business As | VISTA ENDOCRINOLOGY SPECIALISTS |
| Doing Business As | VISTA JOINT AND ARTHRITIS CENTER |
| Doing Business As | VISTA SPORTS SPINE AND INJURY CENTER |
| Doing Business As | VISTA NEUROLOGY SPECIALISTS |
| Doing Business As | SOUTHWEST SPINE AND PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | ASHLEY PFATENHAUER Credentialing Coordinator 435-215-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2023-05-01 |