| NPI | 1659336881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LOVE Administrator 801-479-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT 2005ASF880) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2010-06-24 |