# UTAH CENTRAL PAIN MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1275899114
- **Authorized official:** DR. CHARLES A. HOWARD D.C. (MANAGER)
- **Authorized official phone:** (435) 283-4069

## Contact information

- **Practice address:** 435 S MAIN ST, EPHRAIM, UT 84627-1317
- **Practice address phone:** (435) 283-4069
- **Practice address fax:** (435) 283-0372
- **Mailing address:** 435 S MAIN ST, EPHRAIM, UT 84627-1317
- **Mailing address phone:** (435) 283-4069
- **Mailing address fax:** (435) 283-0372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 04/04/2012
- **Last updated:** 08/15/2012