SPINE AND SPORTS MEDICINE INC
Psychiatric at Pioneer Pkwy, Salt Lake City, UT

License number
Utah 6053003-1204
Category
Medical Practice
Type
Neuromusculoskeletal Medicine, Sports Medicine
License number
Utah 185699
Category
Medical Practice
Type
Pain Medicine
License number
Utah 6053003-1204
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: DR. CHARLES MIKELL BOVA M.D.
Title: PRESIDENT
Phone: (435) 640-6220
Address
Address 2
3336 Pioneer Pkwy SUITE 204, Salt Lake City, UT 84120
3065 Oak Rim Ln, Park City, UT 84060
National Provider ID: 1073677845
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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