| NPI | 1366158602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R PATTY Owner 801-386-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-11-25 |