| NPI | 1477259083 |
|---|---|
| Doing Business As | ACCIDENT MD |
| Entity Type | Organization |
| Authorized Contact | OKSANA V JACOBY Member 801-999-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |