| NPI | 1174620389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WATKINS Office Administrator 801-473-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 1706651205) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-11-05 |