NPI | 1134928419 |
---|---|
Entity Type | Organization |
Authorized Contact | HAYLEY WILLIAMS Office Manager 801-815-6862 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2025-03-10 |
Last Update Date | 2025-03-10 |