NPI | 1891151668 |
---|---|
Entity Type | Organization |
Authorized Contact | KENT MEACHAM Manager 801-476-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: UT 8907753-1204) |
Enumeration Date | 2016-01-11 |
Last Update Date | 2017-03-15 |