| NPI | 1619570694 |
|---|---|
| Doing Business As | LIVE WELL CENTER - OGDEN |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |