| NPI | 1316297880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA TEECE Office Manager 801-417-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine (Licence: UT 429410) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2013-08-01 |