| 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 |