| NPI | 1205184728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW N COX Part Owner 801-254-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: UT 4148) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2021-09-14 |