| NPI | 1538524202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FRAZIER Owner 801-701-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: UT 3094404-1205) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |