| NPI | 1700820941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ROOT Physician 435-656-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: UT 1765711205) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-04-23 |