NPI | 1548727290 |
---|---|
Doing Business As | LIFESTYLE MEDICINE WELLNESS CENTER - PARK CITY |
Entity Type | Organization |
Authorized Contact | JP VALIN Chief Clinical Officer 801-442-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
Enumeration Date | 2019-02-28 |
Last Update Date | 2024-01-31 |