| NPI | 1295876639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON D. POTTER Managing Member 801-576-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 2939081205) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-08-31 |