| NPI | 1689226391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HILL Office Manager 801-816-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |