IDAHO PAIN CENTER AND ANESTHESIA PC

PROVIDENCE, UT
NPI1255520037
Doing Business AsRAYMOND L. BEDELL, DO
Entity TypeOrganization
Authorized ContactSHANNA BEDELL
Accounts Manager
435-755-0964
Organization Subpart ?No
Primary Taxonomy208VP0000X Pain Medicine, Pain Medicine
(Licence: UT  329116-1204)
Additional Taxonomies208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: UT  329116-1204)
Enumeration Date2007-10-17
Last Update Date2013-07-18
Business Address
IDAHO PAIN CENTER AND ANESTHESIA PC
286 N GATEWAY DR
PROVIDENCE, UT 84332-9733
Phone number: 435-755-9184
Mailing Address
IDAHO PAIN CENTER AND ANESTHESIA PC
286 N GATEWAY DR STE 201
PROVIDENCE, UT 84332-5602
Phone number: 435-755-9174