| NPI | 1134470347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN JONES Office Manager 435-251-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 1787801205) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-12-28 |