| NPI | 1093024689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY JOHN PETERSON Physician 435-637-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: UT O-0522) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |