| NPI | 1437416500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PASKETT Practice Manager 801-387-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 7471494-1205) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2020-12-08 |