| NPI | 1285219808 |
|---|---|
| Doing Business As | TOOELE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |