| NPI | 1427456797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE TERRY Athletic Trainer 435-251-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT 8207030-4810) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |