| NPI | 1891037636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAAN HORST GOEBEL Podiatrist/Manager 801-274-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 8425054-0501) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-11-26 |