NPI | 1487198321 |
---|---|
Doing Business As | UTAH FACIAL PLASTICS |
Entity Type | Organization |
Authorized Contact | SCOTT KENT THOMPSON Sole Owner 801-776-2220 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: UT 6103240-1205) |
Enumeration Date | 2016-12-12 |
Last Update Date | 2016-12-12 |