# INTERWEST COMPREHENSIVE PAIN CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043234685
- **Authorized official:** DR. PETER C DAINES M.D. (MANAGER)
- **Authorized official phone:** (435) 753-1600

## Contact information

- **Practice address:** 2380 N 400 E, STE A, LOGAN, UT 84341-1749
- **Practice address phone:** (435) 713-9681
- **Practice address fax:** (435) 753-1201
- **Mailing address:** 274 N MAIN ST, LOGAN, UT 84321-3915
- **Mailing address phone:** (435) 753-1600
- **Mailing address fax:** (435) 753-9521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 6006178-1205 | UT | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 07/11/2011