| NPI | 1245834878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ROSE BANDLE Nurse Practitioner/Owner 435-268-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |