| NPI | 1508518085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN SMITH Authorized Official 801-682-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| 133V00000X Dietitian, Registered | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 225100000X Physical Therapist | |
| 251B00000X Case Management | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2023-09-15 |