| NPI | 1063255107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD B SORENSEN Board Member / LLC Member 801-434-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2025-06-30 |