| NPI | 1669979357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR MICHAEL ABTAHI Physician 801-232-6489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO CO56569) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |