| NPI | 1750794533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BRETT HUMPHERYS President 801-225-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: UT 326796-0501) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |