| NPI | 1033474119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE POLLOCK Office Manager 801-949-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: AZ MD29911) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-08-20 |