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 |