| NPI | 1558546226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J PRINCE Owner 435-628-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 58209071205) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |