| NPI | 1366550170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN CRANDALL President 801-266-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT 2004ASF276) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2009-10-12 |