| NPI | 1356416770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ALLAN GOMEZ Podiatrist 801-375-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 367951) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-08-04 |