| NPI | 1639289010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ARNELL RICHINS Owner/President 801-367-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: UT 10940) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |