| NPI | 1649745506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MOORE Owner 801-889-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-25 |