| NPI | 1629032305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA JENSEN Administrator 801-957-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT 2004-ASF-44482) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2008-04-20 |