| NPI | 1659640639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT JOSEPH EARL Owner 801-475-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 5110301-1205) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2012-02-14 |