| NPI | 1871098491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J ALBANO Md/Owner 801-971-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2019-05-29 |