| NPI | 1922297324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON S. OLSEN Orthopedic Surgeon 435-654-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-05-07 |