NPI | 1639196710 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL ANTHONY SATTER Owner 435-882-6618 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: UT 2807191205) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2015-05-27 |