| NPI | 1891938460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LAWRENCE LIVERS President 801-478-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: UT 5763903-1205) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |