Organization
WASATCH SPORTS, SPINE & PAIN TREATMENT CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER HEATON MD (PRESIDENT)
(801) 768-2755
Entity
Organization
Contact information
Practice address
680 E MAIN ST, 202, LEHI, UT 84043-2241
(801) 768-2755
(801) 768-2658
Mailing address
680 E MAIN ST, 202, LEHI, UT 84043-2241
(801) 768-2755
(801) 768-2658
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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