| NPI | 1164530903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TAYLOR RICHARDS Onwer/Operator 801-262-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: UT 5586768-1205) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-08-10 |