Proactive Pain Center

NPI #1770961955 in Sandy, Utah

Provider Information

NPI Number
1770961955
Entity Type
Organization
Organization Name
Proactive Pain Center
Primary Specialty
Preferred Provider Organization
Enumeration Date
May 8, 2015
Last Updated
Jul 21, 2022

Practice Location

Address
10965 S STATE ST
City
Sandy
State
Utah
ZIP Code
84070-4270
Phone
(385) 414-6267

Authorized Official

Name
JODIE CUNNINGHAM
Title
OWNER
Phone
(385) 414-6267

Specialties & Taxonomy Codes

Specialty
Point of Service
Preferred Provider Organization

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