NPI | 1417112715 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIAN D NILSON President 435-752-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 69626121205) |
Enumeration Date | 2008-07-25 |
Last Update Date | 2019-08-26 |