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 Pain Medicine, Pain Medicine |
Enumeration Date | 2011-12-22 |
Last Update Date | 2011-12-22 |