| NPI | 1104324904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON G PETERSON Chief Medical Officer, Managing Par 801-598-8337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2019-03-14 |