| NPI | 1447250147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN WEBSTER President 801-261-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: UT 008727) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 008727) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: UT 008727) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2008-05-05 |