| NPI | 1427515170 |
|---|---|
| Doing Business As | LIVE WELL CENTER - UTAH VALLEY |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phys Exec/Pres Im Group 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine Sports Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-07-19 |