| NPI | 1649481151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KARN BOYNTON Physician 801-563-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 178452-1205) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-11-25 |