| NPI | 1417157660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW P GASECKI President 801-446-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 3626031205) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2016-01-11 |