| 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 |