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Organization
INTERMOUNTAIN PAIN SOLUTIONS
Active
Organization
INTERMOUNTAIN PAIN SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS SLADE M.D. (OWNER)
(801) 660-7010
Entity
Organization
Contact information
Practice address
6575 S REDWOOD RD, TAYLORSVILLE, UT 84123-5688
(801) 262-9600
Mailing address
6575 S REDWOOD RD, TAYLORSVILLE, UT 84123-5688
(801) 262-9600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
59687241205
UT
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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