| NPI | 1912640855 |
|---|---|
| Doing Business As | NORTHWEST PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | JOSH LEDER CEO 801-641-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2023-10-24 |