| NPI | 1629249495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G PETERSON President Of Corporation 801-408-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 180034-1205) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |