| NPI | 1396867214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE G WILKINSON Practice Manager 801-312-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2018-02-05 |