| NPI | 1891320644 |
|---|---|
| Doing Business As | SOUTHWEST SPINE AND PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | DEREK LEE FRIEDEN Managing Partner 435-656-2424 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NS0005X Chiropractor, Sports Physician | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2023-02-21 |