NPI | 1902087885 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN RICHMAN Owner 801-825-4709 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 106650-0501) |
Enumeration Date | 2007-11-19 |
Last Update Date | 2008-04-20 |