# INNOVATION PAIN MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INNOVATION PAIN MANAGMENT, LLC-AMBULATORY SURGERY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073807939
- **Authorized official:** NATHAN DEE MILLER D.C. (MANAGING MEMBER)
- **Authorized official phone:** (801) 899-2053

## Contact information

- **Practice address:** 1988 W 930 N, SUITE B, PLEASANT GROVE, UT 84062-4131
- **Practice address phone:** (801) 899-2053
- **Practice address fax:** (801) 492-7615
- **Mailing address:** 1988 W 930 N, SUITE B, PLEASANT GROVE, UT 84062-4131
- **Mailing address phone:** (801) 899-2053
- **Mailing address fax:** (801) 492-7615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | UT | Yes |

## Other

- **Enumeration date:** 06/07/2011
- **Last updated:** 09/10/2014