| NPI | 1114378023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON DANIEL WARD Owner/Surgeon 801-739-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: UT 327556-1205) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |