| NPI | 1083654016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE PENROD CEO 801-284-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: UT 5032435-0160) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: UT 5032435-0160) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2017-02-15 |