# INTERVENTIONAL SPINE & PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1609204338
- **Authorized official:** DR. VIKAS GARG M.D. (OWNER)
- **Authorized official phone:** (801) 262-7246

## Contact information

- **Practice address:** 5801 S FASHION BLVD STE 180, MURRAY, UT 84107-8135
- **Practice address phone:** (801) 262-7246
- **Mailing address:** 274 N MAIN ST, LOGAN, UT 84321-3915
- **Mailing address phone:** (435) 753-1600
- **Mailing address fax:** (435) 753-9521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2013
- **Last updated:** 11/21/2019