| NPI | 1639312812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PAYNE Medicare Enrollment Specialist 801-442-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2011-04-14 |