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CORAL DESERT SPINE SURGERY
NPI 1376839902
Specialist in St George, UT

Active since June 22, 2011
1490 E FOREMASTER DR STE 220, ST GEORGE, UT 84790(435) 656-8366(435) 656-8370 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coral Desert Spine Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORAL DESERT SPINE SURGERY (NPI 1376839902) is a healthcare organization registered as a specialist in St George, Utah and active in the NPI registry since June 2011. The organization lists Ryan D Church, Owner, as its authorized official.

NPPES Registry Identity

NPI1376839902
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCORAL DESERT SPINE SURGERY
Location Address1490 E FOREMASTER DR STE 220St George, UT 84790-4498
Mailing Address1490 E Foremaster Dr Ste 220St George, UT 84790-4498 · (435) 656-8366 · Fax (435) 656-8370
Phone(435) 656-8366
Fax(435) 656-8370
Organization SubpartNo
Authorized OfficialRyan D ChurchOwner · (435) 656-8366
Enumeration DateJune 22, 2011
Last NPPES UpdateSeptember 11, 2012
✔ NPI 1376839902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in UT · 5064080-1205
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1490 E FOREMASTER DR STE 220, St George, UT 84790
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE CATHERINE BALLARD NP-C
Nurse Practitioner (Family)
1490 E FOREMASTER DR STE 220
ST GEORGE, UT 84790
Washington County (435) 879-7610
REBECCA ANN GARNER NP
Nurse Practitioner (Family)
1490 E FOREMASTER DR STE 220
ST GEORGE, UT 84790
Washington County (435) 879-7610
GARY DON SNOOK MD PC
Specialist
1490 E FOREMASTER DR STE 220
ST GEORGE, UT 84790
Washington County (435) 656-8366
JEFFREY L MATHEWS MD
Internal Medicine (Rheumatology)
1490 E FOREMASTER DR STE 220
ST GEORGE, UT 84790
Washington County (435) 879-7610
KAMI STEVENS APRN
Nurse Practitioner (Family)
1490 E FOREMASTER DR STE 220
SAINT GEORGE, UT 84790
Washington County (435) 879-7610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coral Desert Spine Surgery's NPI number?

The NPI number for Coral Desert Spine Surgery is 1376839902. It was assigned to this organization in the NPPES registry on June 22, 2011.

Where is Coral Desert Spine Surgery located?

Coral Desert Spine Surgery is located at 1490 E Foremaster Dr Ste 220, St George, UT 84790. The listed phone number is (435) 656-8366.

What is Coral Desert Spine Surgery's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Coral Desert Spine Surgery was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.