NPI | 1306367867 |
---|---|
Doing Business As | LAYTON PARKWAY NORTHERN UTAH PEDIATRICS |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER Chief Phys Exec And Pres Med Group 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2017-07-05 |
Last Update Date | 2017-07-05 |