| NPI | 1285867275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN H PENNOCK Medical Director 801-698-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |