| NPI | 1144648213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIDS S GOURLEY Managing Member 801-266-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: UT 1838591205) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |