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1376839902
CORAL DESERT SPINE SURGERY
ST GEORGE, UT
NPI
1376839902
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Entity Type
Organization
Authorized Contact
RYAN D CHURCH
Owner
435-656-8366
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: UT 5064080-1205)
Enumeration Date
2011-06-22
Last Update Date
2012-09-11
Business Address
CORAL DESERT SPINE SURGERY
1490 E FOREMASTER DR STE 220
ST GEORGE, UT 84790-4498
Phone number: 435-656-8366
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Mailing Address
CORAL DESERT SPINE SURGERY
1490 E FOREMASTER DR STE 220
ST GEORGE, UT 84790-4498
Phone number: 435-656-8366
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