| NPI | 1457670788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL MADONNA Director 801-587-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |