Intermountain Spine and Pain Center
Intermountain Spine and Pain Center is an Ambulatory Surgical Clinic/Center in Providence, Utah. Licensed in Utah. Registered with an NPI since 2007.
- Licensed in
- UT
- In the registry since
- 2007
Practice location Address checks out
286 N Gateway DrProvidence, UT 84332-9733
Phone: (435) 753-1600
Fax: (435) 753-9521
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 0329116-1204 (UT) |
|---|
Record details
| NPI number | 1215057955 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracey Kartsone — Accounts Manager · (435) 753-1600 |
| NPI enumerated | March 29, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 274 N Main St, Logan, UT 84321-3915 |
Other providers in Providence
-
Spring Creek Surgical Center, LLC
65 N Gateway Dr Ste 3, Providence, UT 84332 · (435) 213-6563