| NPI | 1851736359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WARD Owner 801-810-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: UT 8526932-1205) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |