| NPI | 1306964135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R GREEN President 435-688-0156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 287502-1205) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-07-30 |