NPI | 1295866051 |
---|---|
Doing Business As | ORTHOPEDIC SPECIALTY GROUP - TOSH |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 9011-06) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2021-01-14 |