NPI | 1376016618 |
---|---|
Doing Business As | LDS CRITICAL CARE |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phys Exec/Pres Imgroup 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine |
Enumeration Date | 2019-01-09 |
Last Update Date | 2019-10-01 |