NPI | 1447607122 |
---|---|
Doing Business As | BROOKSTAR KNEE CLINIC |
Entity Type | Organization |
Authorized Contact | LEW A WHEELWRIGHT Manager 801-627-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
Enumeration Date | 2016-05-23 |
Last Update Date | 2016-06-14 |