| NPI | 1770627234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE G. WELLING Physician 801-387-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 97-344917-1205) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2010-02-26 |