| NPI | 1063721850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL CHEN Authorized Official 801-462-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2025-12-03 |