| NPI | 1366828485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN TERRY Executive Medical Director 801-587-6307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: UT 6529000-4405) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |