| NPI | 1487836532 |
|---|---|
| Doing Business As | AMG SENIOR MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NATHAN BLASIER Chief Operating Officer 801-716-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 311210-1205) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2024-03-07 |