| NPI | 1073959714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER HEATON President 801-768-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |