NPI | 1760669766 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD L STONE Physician/Owner 801-377-4745 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: UT 154114-1205) |
Enumeration Date | 2008-01-22 |
Last Update Date | 2008-08-12 |