| NPI | 1023251568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL I MADONNA Director Of Contracting And Pe 801-587-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RH0000X Internal Medicine, Hematology | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |