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 |