Provider Demographics
NPI:1588489686
Name:DJC SPINE INTERVENTIONS
Entity type:Organization
Organization Name:DJC SPINE INTERVENTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULI
Authorized Official - Middle Name:
Authorized Official - Last Name:CALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-541-2230
Mailing Address - Street 1:5911 S FASHION BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-7210
Mailing Address - Country:US
Mailing Address - Phone:385-541-2230
Mailing Address - Fax:385-541-2200
Practice Address - Street 1:5911 S FASHION BLVD STE 200
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-7210
Practice Address - Country:US
Practice Address - Phone:385-541-2230
Practice Address - Fax:385-541-2200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation