| NPI | 1679854863 |
|---|---|
| Doing Business As | SGRH DIABETES CLINIC |
| Doing Business As | DIXIE ENDO-DIABETES CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: UT 2392011) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2021-01-07 |