NPI | 1477926806 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL STEVEN BARNARD CEO 435-938-8508 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: UT 309737-4405) |
Enumeration Date | 2015-11-06 |
Last Update Date | 2016-03-10 |