| NPI | 1184657629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LOUISE EDLEFSEN Audiologist 801-584-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 5877740-4101) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-06-23 |