| NPI | 1184657041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE PENNINGTON President 801-965-3417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2082S0105X Plastic Surgery Surgery of the Hand | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 208600000X Surgery | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-12-13 |