| NPI | 1114115763 |
|---|---|
| Doing Business As | CACHE VEIN CARE |
| Entity Type | Organization |
| Authorized Contact | COREY B JOHNSON President 435-753-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 1848241205) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |