| NPI | 1003493933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JOHN Credentialing 801-231-6986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-01-25 |