Organization
INTERWEST COMPREHENSIVE PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER C DAINES M.D. (MANAGER)
(435) 753-1600
Entity
Organization
Contact information
Practice address
2380 N 400 E, STE A, LOGAN, UT 84341-1749
(435) 713-9681
(435) 753-1201
Mailing address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
6006178-1205
UT
Other
Enumeration date
07/27/2006
Last updated
07/11/2011
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