| NPI | 1598861999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HOLLAND Dr Of Medicine 801-876-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 3088050-1205) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-05-20 |