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 |