| NPI | 1598805566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER C CLEMENS Family Practice 801-475-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 5285165-1204) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |