NPI | 1073909594 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIANA ANDERSON HANKINS Administrator 801-888-1140 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 88335211205) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2024-11-06 |