| NPI | 1588162911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN T BORROWMAN Owner 435-656-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2019-03-28 |