Idaho Pain Center and Anesthesia PC
Idaho Pain Center and Anesthesia PC provides Pain Medicine Physician services in Providence, Utah. Licensed in Utah. Registered with an NPI since 2007.
- Licensed in
- UT
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
286 N Gateway DrProvidence, UT 84332-9733 Not confirmed with CMS for 13 years — call before visiting
Phone: (435) 755-9184
Fax: (435) 755-9148
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine Physician (primary) | Taxonomy 208VP0000X · Licence 329116-1204 (UT) |
|---|---|
| Interventional Pain Medicine Physician | Taxonomy 208VP0014X · Licence 329116-1204 (UT) |
Record details
| NPI number | 1255520037 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shanna Bedell — Accounts Manager · (435) 755-0964 |
| Other names | Raymond L. Bedell, Do |
| NPI enumerated | October 17, 2007 |
| Last updated in NPPES | July 18, 2013 |
| Mailing address | 286 N Gateway Dr, Ste 201, Providence, UT 84332-5602 |
Other providers in Providence
-
Advanced Spine Pain Specialists
286 N Gateway Dr Ste 201, Providence, UT 84332-5603 · (435) 932-6125
-
Mount Ogden Pain Medical Center
286 N Gateway Dr Ste A, Providence, UT 84332-9733 · (435) 755-9174