| 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 |