MARIO DAMON LA GIGLIA

BLANDING, UT
NPI1013145697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: UT  9743925-1204)
Additional Taxonomies171000000X Military Health Care Provider
208600000X Surgery
(Licence: NC  2015-02260)
Enumeration Date2009-06-23
Last Update Date2019-04-03
Business Address
MARIO DAMON LA GIGLIA DO
802 S 200 W
BLANDING, UT 84511-3910
Phone number: 435-678-3993
Mailing Address
MARIO DAMON LA GIGLIA DO
802 S 200 W
BLANDING, UT 84511-3910
Phone number: 435-678-3993