| NPI | 1518243096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALENA BARBARA SIKORA President 801-833-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 28703) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2012-01-10 |