| NPI | 1568644557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEPHEN KOTTLER President 801-424-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 1591691205) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |