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Contact Information

INTERMOUNTAIN PAIN SOLUTIONS
6575 S REDWOOD RD
TAYLORSVILLE, UT84123-5688
 Phone: 801-262-9600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN PAIN SOLUTIONS

NPI # 1528519089
LBN Legal business name INTERMOUNTAIN PAIN SOLUTIONS
Authorized official TRAVIS SLADE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2016
Last updated 10/20/2016 - About 10 years ago
Identifiers
UT License # 59687241205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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