| NPI | 1205998259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL I MADONNA Director Of Contracting And Pe 801-581-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZN0300X Specialist/Technologist, Other, Nephrology |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2009-04-14 |