NPI | 1780105387 |
---|---|
Doing Business As | LAYTON PARKWAY ENT |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER Chief Phys Exec And Pres Med Group 801-442-1853 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Enumeration Date | 2017-07-05 |
Last Update Date | 2017-07-05 |