| NPI | 1821468109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH DAVIDSON Manager 435-729-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 70109741205) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |