NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

SPINE AND SPORTS MEDICINE INC
3336 PIONEER PKWY
SUITE 204
WEST VALLEY CITY, UT84120-2000
 Phone: 801-964-3249
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SPINE AND SPORTS MEDICINE INC

NPI # 1073677845
LBN Legal business name SPINE AND SPORTS MEDICINE INC
Authorized official CHARLES BOVA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
UT License # 185699
UT License # 6053003-1204
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for SPINE AND SPORTS MEDICINE INC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for SPINE AND SPORTS MEDICINE INC
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
COMPREHENSIVE MEDICAL MANAGEMENT, PC
4052 W PIONEER PARKWAY
WEST VALLEY CITY, UT
JEFFREY PENCE
3460 SOUTH 4155 WEST
WEST VALLEY CITY, UT
GRANGER MEDICAL CLINIC PC
2965 W. 3500 S.
WEST VALLEY CITY, UT
JEFF B CHUNG, MD
5810 SOUTH 300 EAST
MURRAY, UT
MICHAEL B CHUNG, MD
5810 S 300 E
MURRAY, UT
BART W FOTHERINGHAM, MD
5810 SO 300 EAST
MURRAY, UT
SCOTT W KNORPP, MD
488 E WINCHESTER STREET
MURRAY, UT
MARK M PASSEY, MD
5810 S 300 E, #300
MURRAY, UT
BEVERLY HURWITZ, MD
1245 EAST BRICKYARD RD
SALT LAKE CITY, UT
KENNETH M HURWITZ, MD
1245 EAST BRICKYARD RD
SALT LAKE CITY, UT

  View all Doctors & Physicians
v2.403