Advanced Pain Clinic

NPI #1942580162 in Ogden, Utah

Provider Information

NPI Number: 1942580162
Entity Type: Organization
Organization Name: Advanced Pain Clinic
Primary Specialty: Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date: Aug 18, 2011
Last Updated: Aug 18, 2011

Practice Location

Address: 6028 S RIDGELINE DR
Address 2: SUITE 101
City: Ogden
State: Utah
ZIP Code: 84405-6914
Phone: (801) 409-2044

Authorized Official

Name: TAWNA H GOULDING
Title: OFFICE ADMINISTRATOR
Phone: (801) 409-2044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine	2081P2900X	Primary

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