NPI | 1366022444 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER SESSIONS Manager 435-213-3046 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208D00000X General Practice | |
261QP2300X Clinic/Center, Primary Care | |
261QR1300X Clinic/Center, Rural Health | |
261QU0200X Clinic/Center, Urgent Care | |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-04-12 |
Last Update Date | 2023-01-27 |