| NPI | 1679767834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NEIL KOOYMAN CEO/Business Manager 435-757-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QL0400X Clinic/Center, Lithotripsy (Licence: UT 2055) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2013-08-07 |