Organization
PHYSICIANS ADVANCED INTEGRATED NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A SNOW D.C. (MANAGER)
(801) 955-1555
Entity
Organization
Contact information
Practice address
3536 S 5600 W, SUITE 3, WEST VALLEY CITY, UT 84120-2788
(801) 955-1555
(801) 955-1552
Mailing address
3536 S 5600 W, SUITE 3, WEST VALLEY CITY, UT 84120-2788
(801) 955-1555
(801) 955-1552
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
114566-1202
UT
261QM1300X
Multi-Specialty Clinic/Center
Primary
114566-1202
UT
Other
Enumeration date
09/16/2008
Last updated
04/01/2009
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