| NPI | 1265919914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE BIGGERS Office Mgr 801-483-1015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 103337-0501) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |