| NPI | 1124837646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MORRIS GABRENAS Administrator 801-944-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2024-12-31 |