| 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 |