NPI | 1689180218 |
---|---|
Doing Business As | UTAH VALLEY PEDIATRICS |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phys Exec/Pres Mg 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2017-12-19 |
Last Update Date | 2021-01-14 |