| NPI | 1104000637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE FRISCHKNECHT Office Manger 801-747-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 4916130-1205) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-12-10 |