| NPI | 1639350705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRT L PETERSON Administrator 801-743-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |