| NPI | 1033418009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSI JENKINS Billing Manager 801-475-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: UT 6068769-1205) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |