NPI | 1215960638 |
---|---|
Doing Business As | DESERET FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | ROBERT J ALLEN President 480-981-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 4101) |
204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AZ 006034) | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
Enumeration Date | 2006-07-09 |
Last Update Date | 2017-07-31 |