| NPI | 1043375181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYNE A HERMANSEN Owner 801-542-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2025-09-11 |