| NPI | 1235261025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD M GONZALES Owner 801-387-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 4825699-1205) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-10-30 |