| NPI | 1407125362 |
|---|---|
| Doing Business As | EASTERN UTAH PHYSICAL MEDICINE & PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | JESS JUDY President 615-372-8508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |