| NPI | 1487375473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENKHYOUN NERGUI Owner 801-830-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-11-06 |