| NPI | 1366624991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE R OAKES Business Administrator 801-314-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: UT 3208681205) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2010-11-10 |