# UTAH PAIN RELIEF NORTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UTAH PAIN RELIEF INSTITUTE NORTH, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770812034
- **Authorized official:** MRS. JENNIE N NGUYEN (MANAGER)
- **Authorized official phone:** (801) 448-4422

## Contact information

- **Practice address:** 8822 S REDWOOD RD, WEST JORDAN, UT 84088-9336
- **Practice address phone:** (801) 466-7246
- **Practice address fax:** (801) 281-0444
- **Mailing address:** 8822 S REDWOOD RD, WEST JORDAN, UT 84088-9336
- **Mailing address phone:** (801) 466-7246
- **Mailing address fax:** (801) 281-0444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 09W56823 | UT | Yes |

## Other

- **Enumeration date:** 12/16/2009
- **Last updated:** 03/21/2011