| NPI | 1700125416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DUDLEY Owner 801-359-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2014-08-21 |