| NPI | 1235546797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMER SISNEROS CEO 435-654-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: UT 3140981206) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |