NPI | 1275107617 |
---|---|
Doing Business As | CONNECT CARE - PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
Enumeration Date | 2021-05-19 |
Last Update Date | 2021-05-19 |