| NPI | 1538100649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLI CRISP Account Manager 801-437-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT 2005ASF70230) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-07-27 |