| NPI | 1841421914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE APADACA Supervisor 801-529-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: UT 7143320-1205) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |