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 |