| 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 |