| NPI | 1609406511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SPAINHOWER Business Services Director 801-525-8726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |