| NPI | 1386814168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF H SEEHOLZER Owner 435-752-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: UT 112925-9934) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: UT 112925-9934) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-04-23 |