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 |