| NPI | 1982875878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT W GROVER Physician / Owner 435-752-7123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: UT 5215595-1204) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2024-07-29 |