NPI | 1649375270 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN Q BEARD Doctor/Partner 435-723-5248 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-07-13 |