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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SPINE AND SPORTS MEDICINE INC

Active Organization

Interventional Vascular Surgery · WEST VALLEY CITY, UT

Registration Details

NPI Number
1073677845
Provider Type
Organization
NPI Issued
Dec 19, 2006 (19.336683049855 yrs)
Last Updated
Sep 11, 2025
Licenses
6053003-1204 (UT)
185699 (UT)
6053003-1204 (UT)

Practice Information

Address
3336 PIONEER PKWY
SUITE 204
WEST VALLEY CITY, UT, 841202000
Browse UT providers · Browse ZIP 84120
Phone
8019643249
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
Pain Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.