| NPI | 1699901710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTON M SMITH Podiatrist/Partner 801-265-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT 4862696-0160) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-08-19 |