| NPI | 1265942163 |
|---|---|
| Doing Business As | VIVINT MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DARCE LATSIS Operations Manager 801-705-8040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2020-01-30 |