| NPI | 1447932793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY HOLMGREN President 801-243-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 174400000X Specialist |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-03-08 |