NPI 1053308452

Skyline Pain Clinic

Organisation Pain Medicine Physician Ogden, UT

Practice location

Address: 5315 Adams Ave Pkwy Suite a, Ogden, UT 84405-4766
Phone: (801) 476-4448
Fax: (801) 476-4449
Mailing address: PO Box 9519, Ogden, UT 84409-0519

Authorised official

Name: Jahan Imani
Title: Owner
Phone: (801) 476-4448

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 260615 (UT)

Other Pain Medicine providers in Utah →

Registry record

NPI: 1053308452
Entity type: Organization
NPI issued: 30 Sep 2005
Record last updated: 23 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.