| NPI | 1285035014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL JAY BARTON Owner 801-504-6421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: UT 198637-4405) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-11-25 |