| NPI | 1790010619 |
|---|---|
| Doing Business As | NORTHERN UTAH GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE LAWRENCE Secretary 615-920-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2024-09-18 |