OrganizationActive
Idaho Pain Center and Anesthesia PC
NPI 1255520037 · Pain Medicine Physician · Providence, UT
Provider details
- NPI number
- 1255520037
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shanna Bedell, Accounts Manager(435) 755-0964
- License
- 329116-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
286 N Gateway Dr
Providence, UT 84332-9733
Phone: (435) 755-9184
Fax: (435) 755-9148
Approximate (ZIP-level) locationGet directions
Mailing address
286 N Gateway Dr
Providence, UT 84332-5602
Other names (DBA / former)
- Doing business as
- Raymond L. Bedell, DO
Registry dates
- Enumerated
- 2007-10-17
- Last updated
- 2013-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.