| NPI | 1043234685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER C DAINES Manager 435-753-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 6006178-1205) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-07-11 |