NPI | 1346426137 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SNOW THOMAS President 801-355-0731 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 173229-1205) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2008-01-11 |