NPI | 1003825928 |
---|---|
Entity Type | Organization |
Authorized Contact | JANELL I MADONNA Director Of Contracting And Pe 801-587-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery |
Additional Taxonomies | 208600000X Surgery |
Enumeration Date | 2006-08-07 |
Last Update Date | 2009-04-14 |