| NPI | 1386224814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD BANGERTER Authorized Official 801-397-4101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-02-18 |