| NPI | 1649857061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON ADAM HOFMANN Owner 801-355-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |