| NPI | 1386065456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY B COOK Owner 435-752-9011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 72759630501) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2021-05-04 |