| NPI | 1427265420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SHOARI M.D. 801-585-6387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: UT 5761148-1205) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: UT 5761148-8905) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |