NPI | 1073848966 |
---|---|
Doing Business As | MKDH PORTER FM-CHC |
Entity Type | Organization |
Authorized Contact | KELLY J HOWARD Director 801-442-1425 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2009-10-09 |
Last Update Date | 2009-10-09 |