Organization
PAIN MANAGEMENT PI
Active
Other names
Car Injury Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO LIRA (HEALTHCARE ADMINISTRATOR)
(801) 755-7181
Entity
Organization
Contact information
Practice address
6770 S 900 E STE 1001515, MIDVALE, UT 84047-1709
(801) 755-7181
Mailing address
1515 E FORT UNION BLVD, COTTONWOOD HEIGHTS, UT 84121-2855
(801) 755-7181
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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