NPI | 1437893286 |
---|---|
Doing Business As | BLACK STONE HEALTH |
Entity Type | Organization |
Authorized Contact | JOSH LEDER Practice Administrator 801-641-5613 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
225100000X Physical Therapist | |
261Q00000X Clinic/Center | |
Enumeration Date | 2022-04-26 |
Last Update Date | 2024-06-18 |