| NPI | 1235780263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD TIMM CEO 801-674-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-11-27 |