Glacier Peak Pain Care Pllc

NPI #1568909836 in Clinton, Utah

Provider Information

NPI Number: 1568909836
Entity Type: Organization
Organization Name: Glacier Peak Pain Care Pllc
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Jan 25, 2017
Last Updated: May 6, 2025

Practice Location

Address: 1407 N 2000 W
City: Clinton
State: Utah
ZIP Code: 84015-8562
Phone: (385) 333-7123

Authorized Official

Name: KIRSTEN E BACA, MD
Title: MEMBER
Phone: (443) 413-3130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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