NPI | 1093958605 |
---|---|
Doing Business As | REDROCK ALLERGY CLINIC |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER Chief Phys Exec And Pres Med Group 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology |
Enumeration Date | 2009-04-13 |
Last Update Date | 2021-01-07 |