| NPI | 1629721725 |
|---|---|
| Doing Business As | ST GEORGE ANTICOAGULATION |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phy Exec 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |