| NPI | 1750586624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER F. PENKA Physician Surgeon 801-387-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 811667271205) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |