| NPI | 1326322694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY COOK Office Manager 435-734-9623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 72759630501) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2021-05-04 |