| NPI | 1578329835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER BARTON Owner 801-809-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |