NPI | 1326166067 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN VAWTER Practice Manager 801-621-1701 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: UT 164699-1205) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |