NPI | 1669410098 |
---|---|
Doing Business As | RETINA CONSULTANTS OF SOUTHERN UTAH |
Entity Type | Organization |
Authorized Contact | AMY GRIM Credentialing Specialist 702-202-4776 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 963214201205) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2023-03-29 |