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Organization

COMPASS PAIN CLINIC UTAH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL ROSENBERG (OWNER)
(503) 867-5219
Entity
Organization

Contact information

Practice address
6360 S 3000 E STE 210, COTTONWOOD HEIGHTS, UT 84121-6972
(503) 867-5219
Mailing address
6360 S 3000 E STE 210, SALT LAKE CITY, UT 84121-6972

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
10/23/2024
Last updated
11/25/2024
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