NPI 1285958439

Advanced Spine Pain Specialists

Organisation Pain Medicine Physician Providence, UT

Practice location

Address: 286 N Gateway Dr STE 201, Providence, UT 84332-5603
Phone: (435) 932-6125
Fax: (435) 932-6130
Mailing address: 274 N Main St, Logan, UT 84321-3915

Authorised official

Name: Vikas Garg
Title: Owner
Phone: (435) 753-1600

Registered specialties (2)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 8233A (WY)

Other Pain Medicine providers in Utah →

Interventional Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 8233A (WY)

Registry record

NPI: 1285958439
Entity type: Organization
NPI issued: 17 Mar 2010
Record last updated: 7 Oct 2019

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.