NPI | 1295290450 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK L PHILLIPS National Director Of Physician Ser. 801-924-4992 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-02-01 |
Last Update Date | 2019-03-25 |