| NPI | 1174665525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG F. BUHLER Bio Mechanic Engineer 801-544-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: UT 1634321202) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |