| NPI | 1407028590 |
|---|---|
| Other Name | LLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN DELL GASSER Owner Nurse Practitioner 801-376-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: UT 2072864405) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-05-27 |