| NPI | 1215128913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CHARLES FUNK President 435-760-9961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 97-334315 1205) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-04-13 |