| NPI | 1497702112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN SPANGRUDE Family Nurse Practitioner 801-561-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: UT 223145-4405,) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2010-03-16 |