| NPI | 1952623712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN E JACKSON Co President 801-268-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 75845890160) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |