| NPI | 1952019846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINT WOOTEN Owner/ Physician 801-295-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |