| NPI | 1578316840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN COIL President/CEO 801-970-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |