| NPI | 1326660374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA WOODS Or Manager 801-261-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 261QP3300X Clinic/Center, Pain | |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-06-24 |