| NPI | 1669927695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD B. CLARK Department Chair 801-587-7415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: UT 9858866-3602) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |