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Organization

SUMMIT MEDICAL PAIN & SPINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ADAM TRAMMELL (OWNER)
(208) 851-1671
Entity
Organization

Contact information

Practice address
4465 S 900 E STE 275, MILLCREEK, UT 84124-2644
(208) 851-1671
Mailing address
4465 S. 900 E., STE. 275, MILLCREEK, UT 84124-2644
(801) 266-2440

Taxonomy

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

Other

Enumeration date
04/26/2018
Last updated
01/16/2019
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