NPI | 1508177072 |
---|---|
Doing Business As | UTAH VALLEY ENT-NORTH VALLEY |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 8612010) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2021-01-14 |