| NPI | 1548683410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MILES PASSEY President 801-314-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: UT 81-167082-1205) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |