| NPI | 1154198646 |
|---|---|
| Doing Business As | NORTHWEST PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | JOSH LEDER CEO 801-641-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |