| NPI | 1558871590 |
|---|---|
| Doing Business As | INTERVENTIONAL MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIE N NGUYEN Manager 801-679-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-24 |