| NPI | 1033803143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN MORRIS Owner 801-891-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 207L00000X Anesthesiology | |
| 207LA0401X Anesthesiology, Addiction Medicine | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-02-20 |