| NPI | 1558550319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY KARTSONE Accounts Manager 435-753-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 1654981205) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 1654981205) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: UT 1654981205) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT 1654981205) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-01-18 |