NPI | 1003931833 |
---|---|
Doing Business As | LDSH CANCER CLINIC |
Entity Type | Organization |
Authorized Contact | MARCI C JONES Affiliation Supervisor 801-442-1631 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2007-03-20 |
Last Update Date | 2008-02-06 |