| NPI | 1083809214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY S GORDON Owner 801-571-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 263767-1205) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |