| NPI | 1306016712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAIT KENNEDY Practice Manager 801-261-8507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 180567-1205) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2011-05-03 |