| NPI | 1679818025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KANE Authorized Official 801-568-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |