| NPI | 1497930200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTON MCDONALD President 435-654-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 160908-1205) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2021-12-01 |