| NPI | 1316165947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM BIRCH Billing 801-655-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-10-19 |