| NPI | 1700173473 |
|---|---|
| Doing Business As | UTAH SPINE CARE |
| Entity Type | Organization |
| Authorized Contact | TROY FULLER Practice Administrator 801-732-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 2626351205) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 1835611205) |
| 208100000X Physical Medicine & Rehabilitation (Licence: UT 1765801205) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2016-10-03 |