| NPI | 1437488319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN ADAMS Owner 801-766-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: UT 7526271-1204) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: UT 7526271-1204) |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: UT 7526271-1204) | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2010-08-26 |