| NPI | 1205008166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES F ALLEN Medical Doctor 435-789-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: UT 70-151750-1205) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |