NPI | 1407149818 |
---|---|
Entity Type | Organization |
Authorized Contact | SYED I NABI Owner 801-808-5846 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: UT 54507) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: UT 54507) |
Enumeration Date | 2011-05-18 |
Last Update Date | 2011-05-18 |