| NPI | 1639050073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CRUMP Chief Medical Officer 801-592-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |