| NPI | 1760814834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L GLINES President 801-209-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 75964441205) |
| Additional Taxonomies | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: UT 75964441205) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 75964441205) | |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |