| NPI | 1437854809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MIDDLEMISS Registered Agent 801-641-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0127X Surgery, Trauma Surgery | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 163W00000X Registered Nurse | |
| 207X00000X Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207T00000X Neurological Surgery | |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-07-29 |