| NPI | 1609934132 |
|---|---|
| Doing Business As | THE SENIOR CLINIC AT PIONEER VALLEY HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JARED SPACKMAN CFO 801-964-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |