NPI | 1053456764 |
---|---|
Doing Business As | NORTHERN UTAH SURGEONS |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phys Executive 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: UT 1002294) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2021-09-01 |