| NPI | 1629310636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONI ALCHIMOWICZ ALLEN Manager 801-244-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CO DR.0052062) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |