NPI | 1255405957 |
---|---|
Other Name | FKA MOUNTAIN WEST GASTROENTEROLOGY, P.C. |
Entity Type | Organization |
Authorized Contact | CHRISTINE MORRIS Corporate Administrator 801-944-3191 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2006-11-17 |
Last Update Date | 2021-07-22 |