| 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 |