Spine And Sports Medicine Inc in West Valley City - Pain Medicine
Spine And Sports Medicine Inc - NPI 1073677845
Spine And Sports Medicine Inc is a Pain Medicine in West Valley City, Utah. Spine And Sports Medicine Inc practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Spine And Sports Medicine Inc is 1073677845. The last update date is 2020-08-22.
Spine And Sports Medicine Inc's current location address is 3336 Pioneer Pkwy, West Valley City, Utah. You can contact this provider via phone number 8019643249. The mailing address for Spine And Sports Medicine Inc is 3336 Pioneer Pkwy, West Valley City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spine And Sports Medicine Inc |
|---|---|
| Address | 3336 Pioneer Pkwy, West Valley City, Utah |
| Phone Number | 8019643249 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bova Mikell Charles |
| Credentials | M.D. |
| Telephone Number | 4356406220 |
NPI Number Detail
| NPI Number | 1073677845 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3336 Pioneer Pkwy |
|---|---|
| City | West Valley City |
| State | Utah (UT) |
| Post Code | 841202000 |
| Phone Number | 8019643249 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 2081P2900X |
| Licence No | 185699 |
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Definition: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit |
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What is the unique identification code assigned to Spine And Sports Medicine Inc by the Centers for Medicare & Medicaid Services?
The Spine And Sports Medicine Inc has been issued the NPI (National Provider Identifier) 1073677845. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Spine And Sports Medicine Inc's facilities are situated?
The facilities of Spine And Sports Medicine Inc are physically located at the following address: 3336 Pioneer Pkwy, West Valley City, UT, 841202000.
What is Spine And Sports Medicine Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Spine And Sports Medicine Inc's specialized field of practice is Pain Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2081P2900X.
On what date did the Spine And Sports Medicine Inc receive the assignment of its 1073677845 from the Centers for Medicare & Medicaid Services?
The Spine And Sports Medicine Inc was issued its 1073677845 by the Centers for Medicare & Medicaid Services on 2006-12-19.
As of what date were the Spine And Sports Medicine Inc's details last updated?
The information pertaining to the Spine And Sports Medicine Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.