| NPI | 1730865056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT S BETTS Partner 801-581-2352 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207WX0009X Ophthalmology Glaucoma Specialist | |
| 207WX0107X Ophthalmology Retina Specialist | |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |