| NPI | 1003006313 |
|---|---|
| Other Name | UVPM |
| Entity Type | Organization |
| Authorized Contact | JANELL BURGON Credentialing 801-225-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2017-02-15 |