| NPI | 1023483252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BISHOP President 801-274-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: UT 78978139922) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |