Spine and Sports Medicine INC
NPI #1073677845 in West Valley City, Utah
Provider Information
- NPI Number
- 1073677845
- Entity Type
- Organization
- Organization Name
- Spine and Sports Medicine INC
- Primary Specialty
- Pain Medicine - Interventional Pain Medicine
- Enumeration Date
- Dec 19, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 3336 PIONEER PKWY
- Address 2
- SUITE 204
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-2000
- Phone
- (801) 964-3249
Authorized Official
- Name
- DR. CHARLES MIKELL BOVA, M.D.
- Title
- PRESIDENT
- Phone
- (435) 640-6220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neuromusculoskeletal Medicine, Sports Medicine |
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
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