Mount Ogden Pain Medical Center

NPI #1487863353 in Providence, Utah

Provider Information

NPI Number: 1487863353
Entity Type: Organization
Organization Name: Mount Ogden Pain Medical Center
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: May 21, 2007
Last Updated: Aug 22, 2007

Practice Location

Address: 286 N GATEWAY DR
Address 2: STE A
City: Providence
State: Utah
ZIP Code: 84332-9733
Phone: (435) 755-9174

Authorized Official

Name: CINDIE G DODENBIER, APRN
Title: PRESIDENT
Phone: (435) 755-9174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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