| NPI | 1477695187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALENE GRIFFITH Practice Administrator 801-507-9542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 19794774) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-08-14 |