NPI | 1942448329 |
---|---|
Entity Type | Organization |
Authorized Contact | DAN HIBBERT Manager 801-822-2727 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: UT 7100427-1205) |
Additional Taxonomies | 261QL0400X Clinic/Center, Lithotripsy (Licence: UT 7100427-1205) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2010-09-27 |