| NPI | 1306636790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BILLMAN VP Of Revenue 801-865-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-06-11 |