Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spine & Sports Medicine

Organization Pain Medicine Physician · NPI 1558588475

Spine & Sports Medicine is a Pain Medicine Physician in West Valley City, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007

Practice location Address checks out

3336 Pioneer Pkwy #204
West Valley City, UT 84120-2000
Phone: (801) 261-1946
Fax: (801) 264-1138
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 1856991205 (UT)

Record details

NPI number1558588475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Bova — President · (801) 261-1946
NPI enumeratedApril 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1250 E 3900 S, 440, Slc, UT 84124-1348