| NPI | 1508810508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KRISPINSKY Office Manager 801-702-3810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 5533) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2026-09-17 |