Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mount Ogden Pain Medical Center

Organization Pain Medicine Physician · NPI 1487863353

Mount Ogden Pain Medical Center 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

Practice location Address checks out

286 N Gateway Dr Ste A
Providence, UT 84332-9733 Not confirmed with CMS for 19 years — call before visiting
Phone: (435) 755-9174
Fax: (435) 755-9148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 5306448-1205 (UT)

Record details

NPI number1487863353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindie Dodenbier — President · (435) 755-9174
NPI enumeratedMay 21, 2007
Last updated in NPPESAugust 22, 2007
Mailing address4520 S 900 W # 324, Riverdale, UT 84405-7155

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