| NPI | 1417121609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON PRESTON Billing/Credentialing 801-747-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: UT 4848079-1205) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2022-04-12 |