NPI | 1851422703 |
---|---|
Other Name | CENTRAL UTAH EYE ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DALE BLAKE Administrator 801-374-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: UT 3591001205) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2008-08-19 |