| NPI | 1831394881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BETH HARWARD Office Manager 801-437-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 188338-1205) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |