| NPI | 1407942501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WATKINS Office Manager 801-473-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WY 7246A) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-12-20 |