NPI | 1629757570 |
---|---|
Entity Type | Organization |
Authorized Contact | TAYLOR G WRIGHT Owner 801-266-3113 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
332B00000X Durable Medical Equipment & Medical Supplies | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-07-17 |
Last Update Date | 2024-02-06 |