DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDAHO PAIN CENTER AND ANESTHESIA PC

Active Organization

Vascular Surgery · PROVIDENCE, UT

Registration Details

NPI Number
1255520037
Provider Type
Organization
NPI Issued
Oct 17, 2007 (18.509502182217 yrs)
Last Updated
Jul 18, 2013
Licenses
329116-1204 (UT)
329116-1204 (UT)

Practice Information

Address
286 N GATEWAY DR
PROVIDENCE, UT, 843329733
Browse UT providers · Browse ZIP 84332
Phone
4357559184
Fax
4357559148
Primary Specialty
Vascular Surgery
208VP0000X
Additional Specialty
Vascular Surgery

Other Vascular Surgery Organizations in PROVIDENCE, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.