NPI 1942580162

Advanced Pain Clinic

Organisation Pain Medicine (Physical Medicine & Rehabilitation) Physician Ogden, UT

Practice location

Address: 6028 S Ridgeline Dr Suite 101, Ogden, UT 84405-6914
Phone: (801) 409-2044
Fax: (801) 475-4948

Authorised official

Name: Tawna H Goulding
Title: Office Administrator
Phone: (801) 409-2044

Registered specialties

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence 6414842-1204 (UT)

Other Physical Medicine & Rehabilitation providers in Utah →

Registry record

NPI: 1942580162
Entity type: Organization
NPI issued: 18 Aug 2011
Record last updated: 18 Aug 2011

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.