Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coral Desert Spine Surgery

Organization Specialist · NPI 1376839902

Coral Desert Spine Surgery provides Specialist services in St George, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011

Practice location Address checks out

1490 E Foremaster Dr Ste 220
St George, UT 84790-4498 Not confirmed with CMS for 14 years — call before visiting
Phone: (435) 656-8366
Fax: (435) 656-8370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 5064080-1205 (UT)

Record details

NPI number1376839902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Church — Owner · (435) 656-8366
NPI enumeratedJune 22, 2011
Last updated in NPPESSeptember 11, 2012
Mailing address1490 E Foremaster Dr Ste 220, St George, UT 84790-4498

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