| NPI | 1487683462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A ONEIDA Owner 801-567-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2013-04-25 |