| 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 |