| 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 |