| 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 |