| NPI | 1710980354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY THORNE Practice Administrator 801-264-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2025-05-08 |