| NPI | 1255617072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY WRIGHT Office Manager 435-752-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: UT 72759630501) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |