| NPI | 1457987570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Physician Executive 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |