| NPI | 1114266970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN GARAYCOCHEA Owner, Medical Director 801-368-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2018-06-05 |