NPI | 1215010327 |
---|---|
Doing Business As | HIGHLAND FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | DEREK DAVID MUSE Manager 801-272-4111 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 1813021205) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 3484061205) |
207Q00000X Family Medicine (Licence: UT 3655121205) | |
305R00000X Preferred Provider Organization (Licence: UT 1813021205) | |
207Q00000X Family Medicine (Licence: UT 2763721206) | |
207Q00000X Family Medicine (Licence: UT 2879974405) | |
207Q00000X Family Medicine (Licence: UT 1045691206) | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2008-03-10 |