| NPI | 1093110850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMEN KHACHATRYAN Authorized Official 435-649-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2024-09-20 |