| NPI | 1568721496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN W TURNER Medical Director 801-327-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: UT 2621351205) |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2016-07-29 |