NPI | 1982040010 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN ROSS MOBLEY Manager 801-449-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: UT 5133249-1205) |
Enumeration Date | 2013-05-15 |
Last Update Date | 2013-08-22 |