| NPI | 1093980310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE SCOTT LARKIN Owner 801-525-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: UT 6238741-4601) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |