| NPI | 1972896793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WALLACE CHALMERS Medical Director 435-656-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: UT 3541777-4405) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |