| NPI | 1487765145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN J WIRTHLIN President 801-364-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 1550161205) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |