| NPI | 1457222036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C FRY Owner 435-900-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 363L00000X Nurse Practitioner | |
| 2251E1300X Physical Therapist, Electrophysiology, Clinical | |
| 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |