| NPI | 1770631194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURT R STOCK Gen. 801-295-5581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 264339-1205) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: UT 178486-1205) |
| 207Y00000X Otolaryngology (Licence: UT 188579-1205) | |
| 207Y00000X Otolaryngology (Licence: WY 5395A) | |
| 207Y00000X Otolaryngology (Licence: WY 5387A) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: UT 182660-1205) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-08-05 |