| NPI | 1730990722 |
|---|---|
| Doing Business As | BOUNTIFUL UROLOGY |
| Entity Type | Organization |
| Authorized Contact | DAVID JAY HENDERSON Owner 801-721-4017 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-02-13 |