| NPI | 1568285336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN BLASIER Chief Operating Officer 801-716-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |