NPI | 1467637926 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS KENT ANDERSON Owner 801-476-0342 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 952927061205) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2008-01-03 |