INNOVATION PAIN MANAGEMENT LLC NPI 1073807939

NPI Information

INNOVATION PAIN MANAGEMENT, LLC is an ambulatory surgical clinic center in Pleasant Grove, UT. INNOVATION PAIN MANAGEMENT, LLC NPI is 1073807939. The provider is registered as an organization entity type.
The provider Is Doing Business As Innovation Pain Managment, Llc-ambulatory Surgery Center.

The provider's business location address is:

1988 W 930 N
SUITE B
PLEASANT GROVE, UT
ZIP 84062-131
Phone: (801) 899-2053
Fax: (801) 492-7615

The provider's authorized official is Nathan Dee Miller .
The authorized official title is Managing Member and has the following contact phone number (801) 899-2053.

The enumeration date for this NPI number is 6/7/2011 and was last updated on 9/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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