| NPI | 1972528537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KENT BURTON President 435-628-2671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-07-17 |