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
- City
- Providence
- 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 Surgical — Ambulatory Surgical |
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