| NPI | 1508178476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD B CLARK Chairman 801-587-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: UT 48547254405) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |