NPI | 1588814479 |
---|---|
Former Legal Business Name | LEHI MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | LARRY J PHILLIPS Administrator 801-855-3844 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-09-26 |
Last Update Date | 2011-12-20 |