NPI | 1750938478 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MARIE TAYLOR Director Of Operations & Credential 801-505-0821 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2019-08-19 |
Last Update Date | 2023-09-08 |