| NPI | 1467858951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SCOTT HUFF President 801-663-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT 908544-0162) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |