| NPI | 1205071198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE K GLAUSER Office Staff 801-316-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT 2008-ASF-86531) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |