| NPI | 1780704536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN N. CLAYTON Physician 801-262-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |