| NPI | 1346911229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |