| NPI | 1073807939 |
|---|---|
| Doing Business As | INNOVATION PAIN MANAGMENT, LLC-AMBULATORY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | NATHAN DEE MILLER Managing Member 801-899-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2014-09-10 |