NPI 1487863353

Mount Ogden Pain Medical Center

Organisation Pain Medicine Physician Providence, UT

Practice location

Address: 286 N Gateway Dr STE a, Providence, UT 84332-9733
Phone: (435) 755-9174
Fax: (435) 755-9148
Mailing address: 4520 S 900 W # 324, Riverdale, UT 84405-7155

Authorised official

Name: Cindie G Dodenbier
Title: President
Phone: (435) 755-9174

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 5306448-1205 (UT)

Other Pain Medicine providers in Utah →

Registry record

NPI: 1487863353
Entity type: Organization
NPI issued: 21 May 2007
Record last updated: 22 Aug 2007

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.