Utah Pain & Rehab Inc.

NPI 1689788762 - Chiropractor - 111N00000X

NPI Details
NPI 1689788762
Enumeration Date 08/18/2006
Last Updated 05/24/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name RUSSELL SCOTT RUSSELL
Position PRESIDENT
Phone (801) 337-4000
Fax (801) 337-4002
Practice Location
1276 WALL AVE
OGDEN UT, 84404-5657, US
Phone (801) 337-4000
Fax (801) 337-4002
Business Location
1276 WALL AVE
OGDEN UT, 84404-5657, US
Phone (801) 337-4000
Fax (801) 337-4002
Toxanomy
Taxonomy Code 111N00000X
License State Utah
License Number 346009-1202
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According to our database, Utah Pain & Rehab Inc. NPI is 1689788762, taxonomy code is 111N00000X and license number is 346009-1202, license state is located at Utah. Utah Pain & Rehab Inc. physically located at 1276 Wall Ave, Ogden UT, 84404-5657. NPI Number 1033115704 has the healthcare provider type.

1689788762 NPI number is provided on an as is basis without warranty of any kind. 1689788762 is maintained by the National Plan & Provider Enumeration System. The contents of Utah Pain & Rehab Inc. are for informational purposes only.