NPI | 1508655184 |
---|---|
Entity Type | Organization |
Authorized Contact | JENAE O'RIELLEY Interim Office Manager 801-903-1122 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2025-05-01 |
Last Update Date | 2025-05-01 |