| NPI | 1356425672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE PENNINGTON Board Member 801-965-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 164813-1205) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-12-10 |