| NPI | 1588843536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL A SMITH Physician 801-571-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 4938616-1205) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2026-03-30 |