NPI | 1467018143 |
---|---|
Entity Type | Organization |
Authorized Contact | DANE MICHAEL CHAPMAN CEO 435-813-2624 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
Enumeration Date | 2019-05-17 |
Last Update Date | 2019-05-17 |