| NPI | 1386884435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJ N BECKER President 435-688-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 269427-1205) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |