| NPI | 1194863589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW N COX Owner 801-254-9700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: UT 4148) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-03-01 |