| NPI | 1881622967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LIONEL MOESINGER Owner 801-393-5324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 151175-1205) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-31 |