| NPI | 1427399393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PAUL WHITE Owner 435-652-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: UT 7655792-1202) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |