NPI | 1124207170 |
---|---|
Entity Type | Organization |
Authorized Contact | LEON W. HANSEN Pres 801-571-7777 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 171574-1205) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2008-04-04 |