Organization
UT CENTER FOR PAIN MANAGEMENT AND RESEARCH, INC
Active
Other names
NEXUS PAIN CARE
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M ROSENTHAL M.D. (MEDICAL DIRECTOR)
(801) 356-6100
Entity
Organization
Contact information
Practice address
3585 N UNIVERSITY AVE STE 150, PROVO, UT 84604-6630
(801) 356-6100
(801) 356-2113
Mailing address
3585 N UNIVERSITY AVE STE 150, PROVO, UT 84604-6630
(801) 356-6100
(801) 356-2113
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
43731
UT
208100000X
Physical Medicine & Rehabilitation Physician
43731
UT
208VP0000X
Pain Medicine Physician
Primary
43731
UT
Other
Enumeration date
07/20/2005
Last updated
09/30/2014
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