| NPI | 1568678381 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHERYL GEHRKE Office Manager 801-565-6500  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 129697-1703)  | 
| Enumeration Date | 2007-05-16 | 
| Last Update Date | 2020-08-22 |