| NPI | 1407261506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J PRICE Doctor/Owner 801-446-4428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: UT 6922082-9924) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |