| NPI | 1750554838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY J PHILLIPS Pc 801-501-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 27973660501) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2013-10-25 |