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 |