| NPI | 1225853575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MORRIS GABRENAS Practice Administrator 801-944-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |