NPI 1073677845

Spine and Sports Medicine INC

Organisation Interventional Pain Medicine Physician West Valley City, UT

Practice location

Address: 3336 Pioneer Pkwy Suite 204, West Valley City, UT 84120-2000
Phone: (801) 964-3249
Mailing address: 3065 Oak Rim Ln, Park City, UT 84060-6804

Authorised official

Name: Charles Mikell Bova
Title: President
Phone: (435) 640-6220

Registered specialties (3)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 6053003-1204 (UT)

Other Pain Medicine providers in Utah →

Sports Medicine (Neuromusculoskeletal Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 6053003-1204 (UT)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Utah →

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence 185699 (UT)

Other Physical Medicine & Rehabilitation providers in Utah →

Registry record

NPI: 1073677845
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 11 Sep 2025

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.