| NPI | 1942072194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD STEVENSON Owner 801-391-0549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |