| NPI | 1649452475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN A JAVORSKY Office Mgr 801-561-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 3722941205) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2011-04-13 |