| NPI | 1407162878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BUTLER PRINCE President 801-222-0789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: UT 359734-9921) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |