Intermountain Spine and Pain Center

NPI #1215057955 in Providence, Utah

Provider Information

NPI Number
1215057955
Entity Type
Organization
Organization Name
Intermountain Spine and Pain Center
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 29, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
286 N GATEWAY DR
State
Utah
ZIP Code
84332-9733
Phone
(435) 753-1600

Authorized Official

Name
TRACEY H KARTSONE
Title
ACCOUNTS MANAGER
Phone
(435) 753-1600

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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