| NPI | 1144796665 |
|---|---|
| Doing Business As | AMERICAN FORK NEONATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phys Exec Pres Img 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |