| NPI | 1205020120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY G DELCORE President 435-586-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 95-292246-1205) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |