| NPI | 1285043596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE WHITAKER Credentialing Coordinator 801-965-3505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 5139563-1205) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |