NPI | 1073072815 |
---|---|
Doing Business As | CONCIERGE CLINIC LLC |
Entity Type | Organization |
Authorized Contact | RAY KLAWITTER Office Manager 435-236-0835 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-03-19 |
Last Update Date | 2019-03-19 |