| NPI | 1396559753 |
|---|---|
| Doing Business As | ACCIDENT ER |
| Entity Type | Organization |
| Authorized Contact | PEDRO LIRA Healthcare Administrator 801-755-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |