| NPI | 1568965697 | 
|---|---|
| Doing Business As | COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - UTAH | 
| Doing Business As | CIC - UTAH | 
| Entity Type | Organization | 
| Authorized Contact | JOHN J BRENNAN Credentialing 520-322-6274 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology | 
| Enumeration Date | 2018-03-15 | 
| Last Update Date | 2021-10-26 |