| NPI | 1508052234 |
|---|---|
| Doing Business As | SALT LAKE RETINA |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS S. MEHR President 801-260-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2008-01-24 |