| NPI | 1255844015 |
|---|---|
| Former Legal Business Name | ALPINE PAIN SOLUTIONS OF UTAH INC |
| Entity Type | Organization |
| Authorized Contact | BRENT H EGAN President 801-766-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2024-10-16 |