| NPI | 1275899114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A. HOWARD Manager 435-283-4069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-08-15 |