| NPI | 1588732309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE WILLIAMS Manager 435-865-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: UT 2228) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |