| NPI | 1215061593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA LINDLEY Clinical Admin Manager 801-581-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-26 |