| NPI | 1588053300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R BLOCKER Vice President 801-564-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV NV20141489275) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |