| NPI | 1619192861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHABIA GANDHI Manager 435-688-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: UT 00014102) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2009-03-06 |