| NPI | 1689833436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN R WHITTAKER Administrator 435-628-4507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 1122810010) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2012-09-17 |