| NPI | 1053594861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER V SUNDWALL Owner 801-262-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 1498871205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 1498878905) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-03-27 |