INTERMOUNTAIN SPINE AND PAIN CENTER is an ambulatory surgical clinic center in Providence, UT. INTERMOUNTAIN SPINE AND PAIN CENTER NPI is 1215057955. The provider is registered as an organization entity type.
The provider's business location address is:
286 N GATEWAY DR
PROVIDENCE, UT
ZIP 84332-733
Phone: (435) 753-1600
Fax: (435) 753-9521
The provider's authorized official is Tracey H Kartsone .
The authorized official title is Accounts Manager and has the following contact phone number (435) 753-1600.
The CLIA number assigned to this NPI record is 46D1014431 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 3/29/2007 and was last updated on 8/22/2020.