| NPI | 1356514004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH BRZOWSKI Managing Partner 801-593-9223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: UT 374308-1205) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |