| NPI | 1831359298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE GERALD STOTT President 435-688-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: UT 59125901205) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |