NPI | 1073384814 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER E BRODIS Owner 801-721-4587 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2024-01-10 |
Last Update Date | 2024-01-10 |