NPI Profile for INTEGRATED WELLNESS UTAH in SOUTH JORDAN, UT.
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Interventional Pain Medicine |
208VP0014X | 09 | Physician/Interventional Pain Management | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Internist |
111NI0900X | 35 | Chiropractic |
| NPI Number | 1629400429 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/02/2013 | |
| Last updated | 04/12/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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INTEGRATED WELLNESS UTAH
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| WARREN R STACK, MD 3540 S 4000 W WEST VALLEY CITY, UT |
| JEDIDIAH R FARLEY, D.C. 2040 E MURRAY HOLLADAY RD HOLLADAY, UT |