# INTERMOUNTAIN PAIN CENTER

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

## Provider details

- **NPI number:** 1194822080
- **Authorized official:** CHRISTOPHER T CALDWELL (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (801) 314-4430

## Contact information

- **Practice address:** 5770 S 250 E, SALT LAKE CITY, UT 84107-8100
- **Practice address phone:** (801) 314-4438
- **Mailing address:** 5770 S 250 E, SALT LAKE CITY, UT 84107-8100
- **Mailing address phone:** (801) 314-4438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 09/11/2025