| NPI | 1447714878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANDELIN Office Manager 801-368-5013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2472E0500X Technician, Other, EEG |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |