NPI | 1669121521 |
---|---|
Doing Business As | INTERMOUNTAIN PRECISION GENOMICS |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phy Exec 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
Additional Taxonomies | 170300000X Genetic Counselor, MS |
Enumeration Date | 2022-03-19 |
Last Update Date | 2022-03-19 |