| NPI | 1598426314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA K TODD Authorized Official 435-523-3378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2024-12-19 |