Wasatch Sports, Spine & Pain Treatment Center Pllc

NPI 1073959714 - Pain Medicine - 208VP0014X

NPI Details
NPI 1073959714
Enumeration Date 05/21/2013
Last Updated 05/21/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SPENCER SPENCER
Position PRESIDENT
Phone (801) 768-2755
Fax (801) 768-2658
Practice Location
680 E MAIN ST
202
LEHI UT, 84043-2241, US
Phone (801) 768-2755
Fax (801) 768-2658
Business Location
680 E MAIN ST
202
LEHI UT, 84043-2241, US
Phone (801) 768-2755
Fax (801) 768-2658
Toxanomy
Taxonomy Code 208VP0014X
License State
License Number
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According to our database, Wasatch Sports, Spine & Pain Treatment Center Pllc NPI is 1073959714, taxonomy code is 208VP0014X Wasatch Sports, Spine & Pain Treatment Center Pllc physically located at 680 E Main St, Lehi UT, 84043-2241. NPI Number 1033115704 has the healthcare provider type.

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1073959714 NPI number is provided on an as is basis without warranty of any kind. 1073959714 is maintained by the National Plan & Provider Enumeration System. The contents of Wasatch Sports, Spine & Pain Treatment Center Pllc are for informational purposes only.