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 |