| NPI | 1578887329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR CRUZ Administrator 801-243-2327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: UT 6182993-1205) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-07-20 |