| NPI | 1063692960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS T DOXEY President 801-399-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 1640821202) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |