| NPI | 1801879226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER BOWEN HENINGER Podiatrist 435-787-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: UT 5336197-0501) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2018-10-04 |