| NPI | 1477859122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FREDERICK SPRUNG CEO 801-450-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM MD2008-0311) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-06-13 |