NPI | 1295155224 |
---|---|
Doing Business As | QADER FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | GARY J MACKELPRANG President 801-870-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: UT 72-154020-1205) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2014-09-29 |