NPI | 1235526682 |
---|---|
Doing Business As | INNOVATION MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | TAYLOR G WRIGHT CEO 801-266-3113 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 163W00000X Registered Nurse |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
208600000X Surgery | |
163WI0500X Registered Nurse, Infusion Therapy | |
163WW0000X Registered Nurse, Wound Care | |
207Q00000X Family Medicine | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
225X00000X Occupational Therapist | |
2471V0106X Radiologic Technologist, Vascular-Interventional Technology | |
332B00000X Durable Medical Equipment & Medical Supplies | |
363A00000X Physician Assistant | |
363LC1500X Nurse Practitioner, Community Health | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2015-04-23 |
Last Update Date | 2024-02-06 |