| NPI | 1518419159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF VOORHEES Owner 435-680-6276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: UT 20192) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |