| NPI | 1558573881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWEY C MACKAY President 435-723-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 160581-1205) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-11-01 |