| NPI | 1013240845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S DEVENPORT M. D. 801-491-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 74190550160) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 74190550160) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2014-09-04 |