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Contact Information

INTEGRATED FUNCTIONAL MEDICINE, LLC
151 E 5600 S STE 104
SALT LAKE CITY, UT84107-8140
 Phone: 385-228-4758
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for INTEGRATED FUNCTIONAL MEDICINE, LLC

NPI Number 1780451864
LBN Legal business name INTEGRATED FUNCTIONAL MEDICINE, LLC
Authorized official KIRK WERSLAND - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/07/2023
Last updated 12/07/2023 - About 2 years ago
Identifiers n/a
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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