NPI | 1083843262 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGG LUND Owner 801-990-4210 |
Organization Subpart ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 68141211204) |
Enumeration Date | 2009-07-08 |
Last Update Date | 2009-07-08 |