| NPI | 1548308067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN VITALE Director Led 801-261-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: UT 5228084-1205) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-10-29 |