| NPI | 1083953558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL L NELSON President 801-747-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: UT 5646209-1205) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |