| NPI | 1467944868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL D MACDONALD Manager 801-244-6959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 183354-1205) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |