| NPI | 1639331523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA M. VALENZUELA Vice President 801-866-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 1014662) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |