NPI | 1265513964 |
---|---|
Doing Business As | FOOTHILL FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | DAN C. HENRY Authorized Official 801-486-3021 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-10-18 |
Last Update Date | 2008-09-15 |