# INTEGRATED PAIN SPECIALISTS OF SALT LAKE CITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrated Pain Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386303030
- **Authorized official:** CADE ARCHIBALD (COO)
- **Authorized official phone:** (435) 406-1752

## Contact information

- **Practice address:** 34 S 500 E STE 202, SALT LAKE CITY, UT 84102-1094
- **Practice address phone:** (801) 582-2011
- **Mailing address:** 34 S 500 E STE 202, SALT LAKE CITY, UT 84102-1094
- **Mailing address phone:** (801) 582-2011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 12/09/2021
