NPI | 1407633639 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY BAIRD Physician 801-919-3008 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2023-09-11 |
Last Update Date | 2024-01-16 |