| NPI | 1114390846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL P HALLENBORG Owner/Physician 435-669-7046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 6996337-1205) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2016-03-31 |