| NPI | 1912202425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM DODDS Owner 801-261-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 7871004-0144) |
| 261QM2500X Clinic/Center Medical Specialty | |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2024-03-19 |