| NPI | 1437623261 |
|---|---|
| Doing Business As | ALDER GROVE ORTHOPEDIC SPINE |
| Entity Type | Organization |
| Authorized Contact | BRIAN A VERNON Owner 435-787-8146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-05-15 |