Organization
SUMMIT PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P LORDON M.D. (PRESIDENT)
(801) 262-7246
Entity
Organization
Contact information
Practice address
5250 COMMERCE DR, STE 305, MURRAY, UT 84107-7926
(801) 262-7246
(801) 262-3696
Mailing address
PO BOX 27688, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
9727-05
UT
Other
Enumeration date
07/14/2005
Last updated
08/22/2020
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