| NPI | 1558588475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BOVA President 801-261-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: UT 1856991205) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |