| NPI | 1306411277 |
|---|---|
| Doing Business As | PUGET SOUND PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSH LEDER Administrator 801-641-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2023-05-05 |