| NPI | 1104061167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE HESS Office Administrator 801-408-3705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 5216808-1205) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2009-01-08 |