NPI | 1366740060 |
---|---|
Entity Type | Organization |
Authorized Contact | TOBY ALLEN ZIRKLE M,D,/Owner 801-892-0135 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 69606951205) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2011-10-06 |