| NPI | 1194822080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T CALDWELL Authorized Official 801-314-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |