| NPI | 1871280131 |
|---|---|
| Other Name | BREAST SURGERY SALT LAKE CITY |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |