| NPI | 1558558627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L SMITH President 435-676-8966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: UT 4927914-1202) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-11-29 |