NPI | 1518147412 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM THOMAS DOXEY President 801-399-9802 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 52523391202) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2007-11-07 |