| 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 |