| NPI | 1205093721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MALCOM VOGELER Owner/President 801-572-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 159548-1205) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |