Organization · Type 2 NPI

Spine and Sports Medicine Inc

Interventional Pain Medicine Physician · West Valley City, UT

NPI number 1073677845 Active

Practice location

3336 Pioneer Pkwy, Suite 204
West Valley City, UT 84120-2000

Call (801) 964-3249 Map

Mailing address

3065 Oak Rim Ln
Park City, UT 84060-6804

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X6053003-1204 (UT)
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X185699 (UT)
Interventional Pain Medicine Physician Primary 208VP0014X6053003-1204 (UT)

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

9 other providers at this address

About NPI 1073677845

Spine and Sports Medicine Inc's National Provider Identifier is 1073677845, issued on Dec 19, 2006. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in West Valley City, UT. The record was last updated on Sep 11, 2025.