| NPI | 1649204553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA MUNDY Practice Administrator 801-253-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2026-05-29 |