| NPI | 1881945608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ROGERS Owner 801-756-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: UT 102652-0501) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |