NPI | 1376050682 |
---|---|
Entity Type | Organization |
Authorized Contact | DAMON BELL Nurse Practitioner 801-227-9280 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7757911-4405) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2018-08-06 |