| NPI | 1487764411 |
|---|---|
| Former Legal Business Name | EAR,NOSE AND THROAT CENTER OF SALT LAKE CITY |
| Entity Type | Organization |
| Authorized Contact | EVON PEFAUR Billing Manager 801-328-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-04-20 |