| NPI | 1295919728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE BENARD Office Manager 801-747-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT 5280409-1205) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2011-03-04 |