| NPI | 1104958974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A PORTER Owner 801-387-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: UT 3090962-1205) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-10-30 |