NPI | 1295028603 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WALLACE CHALMERS Medical Director 435-656-1916 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: UT 6626848-1205) |
Enumeration Date | 2011-05-17 |
Last Update Date | 2011-05-17 |