| NPI | 1457058646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLARK Chief Medical Officer (Cmo) 801-576-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 207Q00000X Family Medicine | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-17 |