| 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 |