| NPI | 1366989931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK GARCIA Direct Owner 801-254-5800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 347183-4405) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: UT 7058178-1202) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |