| NPI | 1508619040 |
|---|---|
| Doing Business As | WOW CLINIC |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN FOGG Medical Director / COO 801-712-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-05-06 |