NATHANIEL A PTAK

MURRAY, UT
NPI1194387571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery
(Licence: UT  12366058-0501)
Enumeration Date2019-07-05
Last Update Date2021-07-20
Business Address
NATHANIEL A PTAK
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-7000
Mailing Address
NATHANIEL A PTAK
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 630-464-7825