| NPI | 1205192325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M CLINE Director 801-288-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 173525-1205) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |