| NPI | 1649278581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL D. BARNETT Medical Director 801-689-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT 46C001031) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2013-05-30 |