Organization
INTEGRATED FUNCTIONAL MEDICINE, LLC
Active
Parent organization
INTEGRATED FUNCTIONAL MEDICINE, LLC
Other names
Integrated Pain Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED FUNCTIONAL MEDICINE, LLC
Authorized official
KIRK WERSLAND (OWNER)
(801) 296-8060
Entity
Organization
Contact information
Practice address
151 E 5600 S STE 104, SALT LAKE CITY, UT 84107-8140
(385) 228-4758
Mailing address
151 E 5600 S STE 104, SALT LAKE CITY, UT 84107-8140
(385) 228-4758
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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