Organization
UNIVERSITY OF UTAH PAIN MANAGEMENT PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K CAHALAN MD (DEPARTMENT CHAIR)
(801) 581-6393
Entity
Organization
Contact information
Practice address
546 S CHIPETA WAY, 220, SALT LAKE CITY, UT 84108-1221
(801) 581-7172
Mailing address
PO BOX 413034, SALT LAKE CITY, UT 84141-3034
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100502709
NEVADA MEDICAID
NV
01
—
122767000
WYOMING MEDICAID
WY
01
—
172970100
DEPT OF LABOR
UT
01
—
806360300
IDAHO MEDICAID
ID
Enumeration date
08/24/2006
Last updated
09/12/2013
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