| NPI | 1205187325 |
|---|---|
| Doing Business As | MAPLEWOOD MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT E PARK CEO 801-298-7330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2014-02-27 |