| NPI | 1487863353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDIE G DODENBIER President 435-755-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: UT 5306448-1205) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-08-22 |