NPI | 1750633558 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY SUMMERS Office Manager 801-756-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 102652-0501) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2012-10-04 |