| NPI | 1679763494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIA HAMBLIN Office Manager 801-743-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 49208910501) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2009-12-02 |