| NPI | 1508067950 |
|---|---|
| Doing Business As | PARK CITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN F SWANSON Administrator 435-649-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-07-22 |