| NPI | 1609123512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE T SWINYARD Owner 801-838-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: UT 292580-1205) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2018-07-02 |