| NPI | 1912903352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE SNOW Medical Director 435-688-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: UT 1258) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2008-04-20 |