| NPI | 1316970924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LEI Authorized Official 801-260-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-03-17 |