Organization
OMEGA INTERVENTIONAL PAIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PULLEY MD (OWNER)
(801) 261-4988
Entity
Organization
Contact information
Practice address
3838 S 700 E, STE 300, SALT LAKE CITY, UT 84106-1466
(801) 261-4988
(801) 269-9425
Mailing address
3838 S 700 E, STE 300, SALT LAKE CITY, UT 84106-1466
(801) 261-4988
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13281983-8906
UTAH LICENSE NUMBER
UT
Enumeration date
02/01/2011
Last updated
10/24/2023
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