| NPI | 1053336917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL REY FABER Medical Director, Owner 801-223-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: UT 45356) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |