| NPI | 1629400429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HILL Office Manager 801-816-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 111NI0900X Chiropractor Internist |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2022-04-12 |