| NPI | 1932343639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R. AUSTAD Owner 801-731-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 102623-0501) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |