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Organization
UT CENTER FOR PAIN MANAGEMENT AND RESEARCH, INC
Active
Organization
UT CENTER FOR PAIN MANAGEMENT AND RESEARCH, INC
Active
Other names
NEXUS PAIN CARE
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M ROSENTHAL M.D. (MEDICAL DIRECTOR)
(801) 356-6100
Entity
Organization
Contact information
Practice address
3585 N UNIVERSITY AVE STE 150, PROVO, UT 84604-6630
(801) 356-6100
(801) 356-2113
Mailing address
3585 N UNIVERSITY AVE STE 150, PROVO, UT 84604-6630
(801) 356-6100
(801) 356-2113
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
43731
UT
208100000X
Physical Medicine & Rehabilitation Physician
43731
UT
208VP0000X
Pain Medicine Physician
Primary
43731
UT
Other
Enumeration date
07/20/2005
Last updated
09/30/2014
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