| NPI | 1518770577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM CHAN Vice President Operations 435-565-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |