| NPI | 1447470893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C HUSTAD President 801-475-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 377470-1205) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-08-16 |