NPI | 1649425000 |
---|---|
Other Name | PAIN TO WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | R. JAY SHETLIN Member 801-446-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: UT 374015-1202) |
Enumeration Date | 2008-11-25 |
Last Update Date | 2009-02-11 |