| NPI | 1225632003 |
|---|---|
| Doing Business As | SPANISH FORK CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207N00000X Dermatology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |