| NPI | 1093301566 |
|---|---|
| Doing Business As | PREMIER FAMILY MEDICAL - VINEYARD |
| Entity Type | Organization |
| Authorized Contact | HEATHER GUYMON Credentialing Specialist 801-769-2571 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2024-03-22 |