| NPI | 1245464858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET R BOYLE Medical Director 801-590-9064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2023-03-07 |