| NPI | 1275559148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH M SCOTT Owner 801-966-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: UT 5094903-1206) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |