Organization · Type 2 NPI
Intermountain Spine and Pain Center
Ambulatory Surgical Clinic/Center · Providence, UT
NPI number
1215057955
Active
Practice location
286 N Gateway Dr
Providence, UT 84332-9733
Fax (435) 753-9521
Mailing address
274 N Main St
Logan, UT 84321-3915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 0329116-1204 (UT) |
Ambulatory Surgical Clinic/Center: Definition to come...
5 other providers at this address
- Idaho Pain Center and Anesthesia PCPain Medicine Physician Providence, UT NPI 1255520037
- Mount Ogden Pain Medical CenterPain Medicine Physician Providence, UT NPI 1487863353
- Primrose Home Care Inc.Home Health Agency Providence, UT NPI 1508943135
- Primrose Hospice Inc.Community Based Hospice Care Agency Providence, UT NPI 1891841482
- Jeanette C. Hepburn, APRNNurse Practitioner Providence, UT NPI 1922246487
Other ambulatory surgical clinic/center providers in Providence
About NPI 1215057955
Intermountain Spine and Pain Center's National Provider Identifier is 1215057955, issued on Mar 29, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Providence, UT. The record was last updated on Aug 22, 2020.