| NPI | 1386969442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SCOTT BEVAN President 801-243-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |