| NPI | 1285313452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EUGENE SPEICHER President 801-689-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |