| NPI | 1609896216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART L ELLINGTON President 801-364-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT 2006-ASF-332) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |