| NPI | 1588849483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE OAKES Business Administrator 801-314-4345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT 3595641205) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2009-11-09 |