| NPI | 1518966399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P LORDON President 801-262-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: UT 9727-05) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |