Healthcare Provider Details

I. General information

NPI: 1053232728
Provider Name (Legal Business Name): APEX SURGICAL AND PAIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5187 S ASCENSION WAY STE 250
MURRAY UT
84123-2997
US

IV. Provider business mailing address

5187 S ASCENSION WAY STE 250
MURRAY UT
84123-2997
US

V. Phone/Fax

Practice location:
  • Phone: 801-697-6006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: IAN DAWE
Title or Position: MEDICAL DIRECTOR
Credential: APRN
Phone: 801-687-6006