| NPI | 1508488008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SHEPPARD President/CEO 801-428-8350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QG0250X Clinic/Center, Genetics | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 261QR1100X Clinic/Center, Research | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2024-06-18 |