| NPI | 1083998603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE KANE Vice President 801-568-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 208800000X Urology | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |