| NPI | 1487890711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TURNER HOLMES Owner 801-485-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: UT 349519-1202) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |