| NPI | 1356519656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MICHAEL CONCOBY President 801-465-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 5656211-1204) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2012-11-01 |