Organization
INTERMOUNTAIN PAIN MANAGEMENT AND INJURY, INC,
Active
Other names
Intermountain Pain and Injury
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM EDSON (ADMINISTRATOR)
(801) 510-1538
Entity
Organization
Contact information
Practice address
6575 S REDWOOD RD, ST 201, TAYLORSVILLE, UT 84123-5688
(801) 262-9600
Mailing address
6575 S REDWOOD RD, ST 201, TAYLORSVILLE, UT 84123-5688
(801) 262-9600
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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