| NPI | 1992722888 |
|---|---|
| Former Legal Business Name | EXCEL EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | DALE BLAKE Administrator 801-374-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-08-26 |