| NPI | 1386825404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M STRAND Billing Manager 435-673-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 1768961205) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2009-04-01 |