Organization
PAIN & INJURY CLINIC OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDIE LYN YOUNGMAN (OFFICE MANAGER)
(801) 475-1910
Entity
Organization
Contact information
Practice address
1186 E. 4600 S., SUITE 220, OGDEN, UT 84403
(801) 475-1910
(801) 475-4245
Mailing address
1186 E. 4600 S., SUITE 220, OGDEN, UT 84403
(801) 475-1910
(801) 475-4245
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
111340-1202
UT
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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