NPI | 1700050044 |
---|---|
Entity Type | Organization |
Authorized Contact | JUNIUS CLAWSON Owner/President 801-314-2329 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 1021814-1205) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2022-11-01 |