NPI | 1871838847 |
---|---|
Doing Business As | DRUMD |
Entity Type | Organization |
Authorized Contact | MARY J URRY Practice Administrator/Officer 801-390-4536 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: UT 177611-1205) |
Enumeration Date | 2012-12-03 |
Last Update Date | 2018-06-27 |