NPI | 1629371307 |
---|---|
Entity Type | Organization |
Authorized Contact | STANTON M SMITH Member/Physician 801-441-2719 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 1045170501) |
Enumeration Date | 2010-12-17 |
Last Update Date | 2023-09-08 |