| NPI | 1851705578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON FREDERIC JONES Owner 801-505-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 89263210501) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-10-23 |