| NPI | 1487469201 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KADE HUNTSMAN Owner 801-346-7788 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 
| Enumeration Date | 2025-02-10 | 
| Last Update Date | 2025-02-10 |