| NPI | 1366851271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HAGUE Registered Agent 801-558-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |