Interwest Comprehensive Pain Center

NPI #1043234685 in Logan, Utah

Provider Information

NPI Number
1043234685
Entity Type
Organization
Organization Name
Interwest Comprehensive Pain Center
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
Jul 27, 2006
Last Updated
Jul 11, 2011

Practice Location

Address
2380 N 400 E
Address 2
STE A
City
Logan
State
Utah
ZIP Code
84341-1749
Phone
(435) 713-9681

Authorized Official

Name
DR. PETER C DAINES, M.D.
Title
MANAGER
Phone
(435) 753-1600

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine

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