| NPI | 1528571023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA R. MURRAY Administrator 801-839-8092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AZ HSPC8508) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2022-08-11 |