| NPI | 1912435744 |
|---|---|
| Doing Business As | CHRONIC PAIN MGMT - LAYTON |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER Clinical Integration SVP 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |