| NPI | 1295992477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A BLAMIRES Mbr 801-264-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-09-10 |