NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902805948 |   |   |   | UT CENTER FOR PAIN MANAGEMENT AND RESEARCH, INC | 3585 N UNIVERSITY AVE STE 150 | PROVO | UT | 846046630 |
1376725143 | LI | TAO |   |   | 3585 N UNIVERSITY AVE | PROVO | UT | 846046601 |
1356755094 | NAKKEN | JASON | JON |   | 3585 N UNIVERSITY AVE STE 105 | PROVO | UT | 846046601 |
1225036064 | OLENSLAGER | BRIAN | K |   | PO BOX 27688 | SALT LAKE CITY | UT | 841270688 |
1861490609 | PIERSON | JEFFERY | D |   | PO BOX 27688 | SALT LAKE CITY | UT | 841270688 |
1073512745 | ROSENTHAL | RICHARD | M |   | 3585 N UNIVERSITY AVE STE 150 | PROVO | UT | 846046630 |
1508250580 | SMITH | DIANE |   |   | 1301 BERTHA HOWE AVE | MESQUITE | NV | 890277502 |