| NPI | 1487531885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON GATHERUM President And Cd) 801-397-4187 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |