| NPI | 1043473358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A DEBENHAM President 435-656-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: UT 184722-1205) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2011-05-27 |