| NPI | 1639404668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER N DELCASTILLO Owner 801-906-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |