| NPI | 1265069066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Physician Executive 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |