| NPI | 1194617589 |
|---|---|
| Doing Business As | MT BAKER PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSH LEDER Administrator 801-641-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |