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Organization
INNOVATION PAIN MANAGEMENT, LLC
Active
Organization
INNOVATION PAIN MANAGEMENT, LLC
Active
Other names
INNOVATION PAIN MANAGMENT, LLC-AMBULATORY SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DEE MILLER D.C. (MANAGING MEMBER)
(801) 899-2053
Entity
Organization
Contact information
Practice address
1988 W 930 N, SUITE B, PLEASANT GROVE, UT 84062-4131
(801) 899-2053
(801) 492-7615
Mailing address
1988 W 930 N, SUITE B, PLEASANT GROVE, UT 84062-4131
(801) 899-2053
(801) 492-7615
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
UT
Other
Enumeration date
06/07/2011
Last updated
09/10/2014
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