| NPI | 1427437144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD BAILEY Executive Director 801-429-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2021-03-25 |