| NPI | 1154857787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANO REGINATO President 801-822-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |