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 |