NPI | 1053441873 |
---|---|
Doing Business As | ROY CLINIC |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 0578) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2021-01-14 |