Organization
PAIN MANAGEMENT PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE WILCOX (OWNER)
(801) 713-1560
Entity
Organization
Contact information
Practice address
4541 S 700 E, SUITE 100, MURRAY, UT 84107-4118
(801) 713-1560
(801) 713-1562
Mailing address
4541 S 700 E, SUITE 100, MURRAY, UT 84107-4118
(801) 713-1560
(801) 713-1562
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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