| NPI | 1538670732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONAL SONIA THAKUR Cmd/Geriatrics 801-718-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD152920) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |