NPI | 1427243849 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK J. CLAYTON Owner/Doctor 801-621-1668 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: UT 169368-1202) |
Enumeration Date | 2007-09-10 |
Last Update Date | 2007-10-18 |