| NPI | 1285958439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKAS GARG Owner 435-753-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: WY 8233A) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WY 8233A) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2019-10-07 |