| NPI | 1912236746 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LAWRENCE J CHASE Owner 435-634-0358 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208200000X Plastic Surgery | 
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: UT 1884801205) | 
| Enumeration Date | 2009-12-07 | 
| Last Update Date | 2015-04-30 |