Innovation Pain Management, LLC
NPI #1073807939 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1073807939
- Entity Type
- Organization
- Organization Name
- Innovation Pain Management, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 7, 2011
- Last Updated
- Sep 10, 2014
Practice Location
- Address
- 1988 W 930 N
- Address 2
- SUITE B
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-4131
- Phone
- (801) 899-2053
Authorized Official
- Name
- NATHAN DEE MILLER, D.C.
- Title
- MANAGING MEMBER
- Phone
- (801) 899-2053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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