NPI | 1619570694 |
---|---|
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 |