| NPI | 1467241554 |
|---|---|
| Doing Business As | INTENSIVE OUTPATIENT CLINIC (MEDICAL) |
| Entity Type | Organization |
| Authorized Contact | PETER WEIR Chair 801-587-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |