Interwest Comprehensive Pain Center

NPI 1043234685 - Anesthesiology - 207LP2900X

NPI Details
NPI 1043234685
Enumeration Date 07/27/2006
Last Updated 07/11/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PETER C PETER
Position MANAGER
Phone (435) 713-9681
Fax (435) 753-1201
Practice Location
2380 N 400 E
STE A
LOGAN UT, 84341-1749, US
Phone (435) 713-9681
Fax (435) 753-1201
Business Location
274 N MAIN ST
LOGAN UT, 84321-3915, US
Phone (435) 753-1600
Fax (435) 753-9521
Toxanomy
Taxonomy Code 207LP2900X
License State Utah
License Number 6006178-1205
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According to our database, Interwest Comprehensive Pain Center NPI is 1043234685, taxonomy code is 207LP2900X and license number is 6006178-1205, license state is located at Utah. Interwest Comprehensive Pain Center physically located at 2380 N 400 E, Logan UT, 84341-1749. NPI Number 1033115704 has the healthcare provider type.

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1043234685 NPI number is provided on an as is basis without warranty of any kind. 1043234685 is maintained by the National Plan & Provider Enumeration System. The contents of Interwest Comprehensive Pain Center are for informational purposes only.