NPI | 1396383196 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE WHATCOTT CEO 801-255-5131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2019-12-12 |
Last Update Date | 2022-05-10 |