| NPI | 1417253907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN PULLEY Owner 801-261-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2023-10-24 |