| NPI | 1982895181 | 
|---|---|
| Doing Business As | CASTLE COUNTRY ORTHOPEDIC & SPORTS MEDICINE | 
| Entity Type | Organization | 
| Authorized Contact | SCOTT CHARLES JUSTESEN Owner/Physician 435-613-6600 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT Pending) | 
| Enumeration Date | 2007-08-05 | 
| Last Update Date | 2007-09-19 |