| NPI | 1528958766 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH CENTRAL PARK CLINIC - UROLOGY |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |